Reference #: 6130222
About UsOne Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.
In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we're building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.
The Role
As a member of the One Medical's Senior Health Revenue Cycle team, the Coder III will be responsible for supporting One Medical's Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. Reporting to the Coding Supervisor, you will be responsible for coding all claims for Senior Health inclusive of CPT, ICD-10-CM, and HCPCS. Additionally, for the review and completion of email requests in a timely manner as well as reviewing. Demonstrates working knowledge of all facets of the role, relevant regulations, and organizational and departmental policies and procedures.
This is an exciting opportunity to make a significant impact on One Medical and Amazon Health Services' revenue cycle delivery. If you have the passion, expertise, and strategic mindset to excel in this role, we encourage you to apply.
What you'll work on:
Managing multiple coding related projects and ensuring deliverables are up to One Medical standards while being turned around in an acceptable time frame.
Remaining current on CPT, ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance.
Assign appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment.
Work collaboratively with the Medicare Risk Operations team to ensure positive program outcomes.What you'll need:
2+ years as an outpatient risk adjustment coder/auditor required
1+ years experience in Medicare/Medicare Advantage required
CPC certification through AAPC or CCS certification through AHIMA required
CRC must be obtained within one year of hire
Must have strong experience in Microsoft or Google suite in spreadsheets and PowerPoint
Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
Demonstrates ability to perform accurate and complete chart reviews for HCC Risk Adjustment
Possesses advanced knowledge and understanding of HCC Risk Adjustment, coding and documentation requirements.
Previous experience in a coding production environment.
Demonstrates ability to identify and communicate trends in provider coding and documentation.
Strong written, verbal, communication, and attention to detail skills.
Strong organizational, analytical, problem solving, and time management skills
Works effectively and efficiently within a team environment.
Adaptable to shifting priorities and demonstrates willingness to do what it takes to meet client and team needs.
Complies with policies and procedures for confidentiality of all patient records and security of systems.
Ability to work independently and meet quality of work and workload expectations
Ability to manage multiple projects
Performs all duties in accordance with regulatory requirements and internal organizational policies and procedures.
Performs other duties and projects as assigned.
Benefits designed to aid your health and wellness:
Taking care of you today
Paid sabbatical after 5 and 10 years
Employee Assistance Program - Free confidential advice for team members who need help with stress, anxiety, financial planning, and legal issues
Competitive Medical, Dental and Vision plans
Free One Medical memberships for yourself, your friends and family
Pre-Tax commuter benefits
PTO cash outs - Option to cash out up to 40 accrued hours per year
Protecting your future for you and your family
401K match
Opportunity to participate in company equity programs
Credit towards emergency childcare
Company paid maternity and paternity leave
Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance
This is a full-time remote role
One Medical is committed to fair and equitable compensation practices. The base hourly range for this role is $16.00 to $30.50 per year. However, actual compensation packages are based on several factors that are unique to each candidate. These factors include, but are not limited to, job related knowledge and skill set, depth of experience, certifications and/or degrees, and specific work location. The total compensation package for certain roles may also include additional components such as a sign-on bonus, annual performance bonus, equity grants in the form of RSUs, medical and other benefits and/or other applicable incentive compensation plans. For more information, please visit https://www.onemedical.com/careers/.
LI-SB2
LI-RemoteOne Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster (English/Spanish) and Right to Work Poster (/) for additional information.One Medical is an equal opportunity employer and encourages all applicants from every background and life experience.
