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Medical Coder

2 months ago

Manila, National Capital Region, Philippines Amazon Operation Services Philippines, Inc. Full time

  • 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.
  • Responsible for the review and completion of email requests in a timely manner as well as reviewing.
  • Work collaboratively with the Medicare Risk Operations team to ensure positive program outcomes.
Basic Qualifications

  • CPC certification through AAPC and/or CCS certification through AHIMA is required
  • 2+ years as an outpatient and/or risk adjustment coder
  • Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
  • Demonstrates the ability to perform accurate and complete chart reviews for HCC risk Adjustment
  • Possess advanced knowledge and understanding of HCC risk adjustment, coding, and documentation requirements.
  • Previous experience in a coding production environment.
  • Demonstrates the ability to identify and communicate trends in provider coding and documentation.