A Brief Overview Responsible for accurately and timely coding of moderately complex encounters following established coding, CMS regulations and hospital guidelines. Accurately codes diagnostic and procedural information following official coding guidelines, facility specific guidelines and federal regulations. What You Will Do - Reviews moderately complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines. - Responsible for accurately coding hospital same day surgery, observations, ancillary, ED encounters and/or professional services. - Ensures optimal CPT, ASC, APC, APG assignment as applicable. - Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD, and MUE. - Supports OP Clinical Documentation Improvement program. - Maintains productivity and quality rate according to established standards. - Works within UH Billing time frames. - Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars. Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department. Maintains up to date credentials. - Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Additional Responsibilities - Participates in educational and informational activities as required. - Performs other duties as assigned. - Complies with all policies and standards. - For specific duties and responsibilities, refer to documentation provided by the department during orientation. - Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace. Education - High School Equivalent / GED (Required) - Associate's Degree preferably in HIM (Preferred) or Bachelor's Degree (Preferred) Work Experience - 2+ years ICD-10 CM, PCS and/or CPT coding experience (Required) Knowledge, Skills, & Abilities - Medical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge (Required proficiency) - Detail-oriented and organized, with good analytic and problem solving ability. (Required proficiency) - Self-motivated with ability to function independently and as a team player in a fast-paced environment. (Required proficiency) - Strong written and verbal communication skills. (Required proficiency) - Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). Must be able to proficiently work within with multiple systems. (Required proficiency) Licenses and Certifications - Certified Professional Coder (CPC) (Required Upon Hire) or - Certified Coding Specialist (CCS) (Required Upon Hire) or - Registered Health Information Technologist (RHIT) (Required Upon Hire) or - Registered Health Information Administration (RHIA) (Required Upon Hire) or - Certified Coding Associate (CCA) (Required Upon Hire) or - Radiology Coding Certification (RCC) (Required Upon Hire) or - Radiation Oncology Certified Coder (ROCC) (Required Upon Hire) or - Certified Hematology and Oncology Coder (CHONC) (Required Upon Hire) Physical Demands - Standing Occasionally - Walking Occasionally - Sitting Constantly - Lifting Rarely up to 20 lbs - Carrying Rarely up to 20 lbs - Pushing Rarely up to 20 lbs - Pulling Rarely up to 20 lbs - Climbing Rarely up to 20 lbs - Balancing Rarely - Stooping Rarely - Kneeling Rarely - Crouching Rarely - Crawling Rarely - Reaching Rarely - Handling Occasionally - Grasping Occasionally - Feeling Rarely - Talking Constantly - Hearing Constantly - Repetitive Motions Frequently - Eye/Hand/Foot Coordination Frequently Travel Requirements - 10%25

Role Description As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the Manager I, Revenue Cycle. As part of Amazon Health Services, you will find yourself working with exceptionally talented and dedicated people committed to driving financial improvement, scalability, and process excellence. To support our growth, 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. - 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 - Work collaboratively with the Medicare Risk Operations team to ensure positive program outcomes Qualifications - 1+ years of medical profee coding experience - CPC certification through AAPC or CCS certification through AHIMA - Experience in performing accurate and complete chart reviews for profee coding - Experience in profee auditing, coding, and documentation requirements Requirements - 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 Profee and HCC Risk Adjustment Benefits - Starting pay for this position is between 20.00 - 29.00 USD hourly - Starting Day 1 of employment, Amazon offers EAP, Mental Health Support, Medical Advice Line, 401(k) matching

Role Description This position provides processing and communication of Specialty and Non-Specialty medication prior authorization referrals reviewed by the Case Review Unit. This position collaborates with Customer Service, Benefits Verification and Pharmacy Operations to communicate referral status and determinations. Responsibilities include: - Fax processing and providing telephone call assistance for prescriber office staff, pharmacies, and members based on program criteria. - Maintaining complete, accurate, and timely documentation of all appropriate information. - Working closely with the Case Review Unit Clinician team for clinical support on daily functions. - Other duties as assigned by the leadership team. Qualifications - Must be a Hawaii resident. - 1+ years' experience in customer service or call center environment. - Must be able to work from home; this is a 100% work from home position. - Have wired high-speed internet. Requirements - Previous experience in pharmacy or healthcare industry (preferred). - Associate's or Bachelor's Degree (preferred). - Pharmacy Technician License (preferred). - High School Diploma or equivalent GED. Benefits - Affordable medical plan options. - 401(k) plan (including matching company contributions). - Employee stock purchase plan. - No-cost programs for all colleagues, including wellness screenings, tobacco cessation, and weight management programs, confidential counseling, and financial coaching. - Benefit solutions that address different needs and preferences, including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access, and many other benefits depending on eligibility.

Role Description The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education, and compliance. - Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and documentation. - Queries physicians when code assignments are not straightforward or documentation is unclear. - Trains and educates others on coding documentation, claim payment guidelines, and related issues. - Reviews CPT and ICD-9 codes annually for accuracy and implements changes. - Assists physicians and providers with questions and problems related to coding, documentation, and billing. - Serves as a resource to Coding Analysts. Qualifications - Requires a H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background. - Certified Medical Code (CPC or CCS-P) required. - Experience with the most current CMS Risk Adjustment Model strongly preferred. - AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. - Knowledge of medical terminology and anatomy strongly preferred. Requirements - Location: This is a virtual eligible role. You should be within a reasonable proximity to one of our offices. - Hours: 8:00a - 5:00p, Monday through Friday (Eastern or Central time). - Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions. - Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment unless an accommodation is granted as required by law. Benefits - Merit increases. - Paid holidays. - Paid Time Off. - Incentive bonus programs (unless covered by a collective bargaining agreement). - Medical, dental, and vision benefits. - Short and long-term disability benefits. - 401(k) + match. - Stock purchase plan. - Life insurance. - Wellness programs. - Financial education resources.