AOSP
Healthcare
MedicalCodingAuditor-ProfeeCoding
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Medical Coding Auditor - Profee Coding at AOSP. Skills: Medical coding, Quality analysis, Risk adjustment. Lead training initiatives. Create training materials”
What You'll Achieve.
Ensure positive program outcomes
Industry & Context.
Problem-solving skills; Root cause analysis
What They're Looking For.
Must Have
CPC certification through AAPC, CCS certification through AHIMA, 2+ year as an outpatient coder, 2+ year as a risk adjustment coder, Knowledge of health systems operations, Understanding of reimbursement methodologies, Understanding of coding conventions, Perform accurate chart reviews for HCC risk Adjustment, Advanced knowledge of HCC risk adjustment, Advanced knowledge of coding, Advanced knowledge of documentation requirements, Experience in a coding production environment
Nice to Have
2+ years as an outpatient auditor, 2+ years as a risk adjustment auditor, 2+ years’ experience in Medicare, 2+ years’ experience in Medicare Advantage, CRC license within one year of hire, Experience in Microsoft Suite, Experience in Google Suite, Works efficiently within a team environment, Adaptable to shifting priorities, Willingness to do what it takes, Complies with confidentiality policies, Complies with security policies, Ability to work independently, Meet quality of work expectations, Meet workload expectations, Ability to manage multiple projects, Written communication skills, Verbal communication skills, Attention to detail skills, Organizational skills, Analytical skills, Problem-solving skills, Time management skills
What You'll Do.
Lead training initiatives
Create training materials
Conduct training needs analysis
Conduct process trainings
Supplement training topics
Conduct spot checks monthly
Provide progress reports
Discuss audit results
Participate in special projects
Provide inputs for quality opportunities
Provide recommendations for quality opportunities
Provide inputs for action plans
Provide recommendations for action plans
Manage coding projects
Ensure project deliverables
Assign ICD-10-CM codes
Assign other relevant codes
Review email requests
Complete email requests
How You'll Work.
Team & Collaboration
Work with leadership teams; Work with Medicare Risk Operations team
Communication Scope
Written communication; Verbal communication
Process & Methodology
Manage multiple projects
Full Job Description
The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controllership at the lowest cost to the company. We provide the backbone systems and operational processes which completely, accurately, and validly pay Amazon’s suppliers, invoice our customers and report financial results. Amazon is quickly building the Finance Operations capabilities in the healthcare industry by creating the Healthcare Finance Operations Services. As part of the Amazon Healthcare Global Finance Operations Services team, you will find yourself working with exceptionally talented people committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon HealthCare, this candidate must possess a strong passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with Management. As we continue to grow and scale our ability to provide innovative primary care across the country, the teams that support this critical work are growing as well. Amazon Healthcare is seeking to hire Medical Coder - Quality Analyst for the Revenue Cycle team. As a member of the Revenue Cycle team, the Medical Coder - Quality Analyst will be leading Manila's One Medical’s Coding's Quality Program. This position is office-based in Pasay City. Key job responsibilities Key job responsibilities as a Quality Analyst (but are not limited to): • Lead training initiatives such as training materials creation and training needs analysis. • Conduct process trainings via leading or supplementing training topics for specific processes. • Auditor will have to conduct spot checks on a monthly basis based on existing quality parameters. • Provide progress reports to leadership teams regarding quality results and action items on quality misses. • D
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