The Opportunity:

As a key member of our Revenue Cycle department and reporting to the Sr. Manager of Revenue Cycle, you will oversee the Coding team to ensure accurate and timely coding of claims on behalf of our members. Through the implementation of best coding practices, dedicated follow up, and an educated and compassionate approach, you will be instrumental in reducing pain points throughout the coding journey. By addressing these challenges, you will work collaboratively to build a solid foundation for the coding team as the company scales.

As someone who naturally enjoys finding ways to improve the status quo, you adeptly identify and create processes necessary to get work done. You comfortably interact with your team members as well as other teams and easily tailor your message and communication style to different audiences. You have a high accountability bar and know how to motivate others, consistently following through on commitments and ensuring others do the same. If you are interested in developing leadership skills while deepening your understanding of coding and revenue cycle One Medical, we'd love to hear from you!

What you'll likely work on:

• Educate the team and stay abreast of current payor rules and billing guidelines
• Identify areas of opportunity with the current Coding process to increase accuracy and efficiency
• Operationalize the department as One Medical scales, including developing performance management tools to monitor daily throughput
• Approval of weekly time sheets and time off requests as well as the completion of yearly performance evaluations.
• Drive business process improvements to optimize Coding performance
• Support team members' career goals and development through consistent feedback, training, and coaching

What you'll need:

• 1+ years of experience in a lead/supervisory role required
• 2+ years of experience as an outpatient risk adjustment coder/auditor required
• 2+ years experience in Medicare/Medicare Advantage required
• Knowledge of industry standard code sets and associated guidelines (ICD-10, CPT, HCPCS)
• Possesses advanced knowledge and understanding of HCC Risk Adjustment, coding and documentation requirements.
• CPC certification through AAPC or CCS certification through AHIMA required
• CRC must be obtained within one year of hire
• Ability to manage teams, projects, and processes leveraging reports and metrics
• Fluency in G-suite and Excel
• 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
• Adaptable to shifting priorities and demonstrates willingness to do what it takes to meet 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

One Medical is committed to fair and equitable compensation practices. The base salary range for this role is $48,000 to $86,000 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, equity grants in the form of RSUs, medical and other benefits and/or other applicable incentive compensation plans. For more information, please visit.