医疗编码员/AR专员
Medical Coder/AR Specialist
你是什么样的人
你是一个注重细节、经验丰富的医疗编码员，理解准确的编码只是健康收入周期的一部分。你具备扎实的门诊编码专业知识，并且有实际操作的应收账款跟进、拒付处理和付款记录经验。你能够深入分析索赔单，发现问题并跟踪解决，同时保持准确性和合规性。你能够自信地与保险公司、患者、提供者和团队成员沟通，并且知道如何将复杂的计费问题变得易于理解。你在远程环境中茁壮成长，能够对自己的工作负责，管理优先级冲突，并推动事情向前发展。最重要的是，你重视把事情做对——为了我们的提供者、患者和业务。
我们是谁
Oasis Health Partners（Oasis）正在通过推进初级保健来建设更健康的社区。我们与患者、提供者和计划合作，为全美各地小镇的老年人提供个性化、本地化的护理。我们认为患者的需求是第一位的，而初级保健是以患者为中心的医疗保健的基础。通过Oasis，患者可以获得更好的可及性和护理。提供者可以获得数据、资源和专业知识，以便在基于价值的护理安排中取得成功。保险公司则可以受益于一个能提高绩效、推动增长并降低难以接触市场的整体护理成本的解决方案。
我们一起勇敢地推进最需要的初级保健。我们期待你加入我们这段旅程。我们邀请你成为Oasis的一员，在这里，你会发现我们首先倾听，做正确的事，一起建设，全力以赴——同时享受乐趣！
你的角色
Oasis正在建立一个强大且可扩展的收入周期管理（RCM）方案，以支持独立和基于社区的初级保健实践。作为医疗编码员/应收账款专员，你将在维持收入周期运转方面发挥关键作用——从准确的门诊编码和干净的索赔提交，到付款记录、应收账款跟进和拒付处理。你将贯穿整个计费生命周期，识别并解决可能延迟或影响报销的问题，同时在编码或计费问题出现时为提供者和患者提供支持。你的工作将有助于减少收入流失，提高收款率，并为所服务的诊所和患者创造更好的体验。
主要职责
- 分配和处理医疗编码任务，确保符合医保规定和标准流程
- 跟进应收账款，追踪未支付账单，确保及时处理
- 处理拒付案件，分析原因并采取必要措施进行纠正
- 与保险公司、提供者和患者沟通，解决计费相关问题
- 协助优化计费流程，提高效率和准确性
- 与其他团队成员协作，确保收入周期顺畅运行
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Who You Are
You are a detail-oriented, experienced medical coder who understands that accurate coding is just one part of a healthy revenue cycle. You bring strong outpatient coding expertise along with hands-on experience in AR follow-up, denial resolution, and payment posting. You’re comfortable digging into claims, identifying issues, and following them through to resolution while maintaining accuracy and compliance. You communicate confidently with payors, patients, providers, and teammates, and you know how to make complex billing questions easier to understand. You thrive in a remote environment where you can take ownership of your work, manage competing priorities, and keep things moving. Most importantly, you care about getting it right - for our providers, our patients, and the business.
Who We Are
Oasis Health Partners (Oasis) is building healthier communities by advancing primary care. We partner with patients, providers, and plans to provide personalized, local care for seniors in towns across America. We believe that patient needs come first, and that primary care is the foundation of patient-centric healthcare. With Oasis, patients receive better access and care. Providers receive the data, resources, and expertise to be successful in value-based care arrangements. Payors get the benefit of a solution that improves performance, drives growth, and reduces the total cost of care in hard-to-engage markets.
Together, we will boldly advance primary care for those that need it most. We are excited for you to join us on this journey. We invite you to be a part of Oasis, where you will discover we listen first, do the right thing, build things together and go all in --- while having fun!
Your Role
Oasis is building a strong, scalable Revenue Cycle Management (RCM) offering to support independent and community-based primary care practices. As a Medical Coder/AR Specialist, you will play a vital role in keeping the revenue cycle moving - from accurate outpatient coding and clean claim submission through payment posting, AR follow-up, and denial resolution. You will work across the billing lifecycle to identify and resolve issues that could delay or impact reimbursement, while also serving as a resource for providers and patients when coding or billing questions arise. Your work will help reduce revenue leakage, improve collections, and create a better experience for the practices and patients we serve.
Key Responsibilities
- Assign accurate CPT, ICD-10, and HCPCS codes for outpatient encounters based on provider documentation
- Enter and manage charges within eClinicalWorks (eCW)
- Post insurance payments, adjustments, and denials accurately based on EOBs/ERAs
- Review, submit, and track claims through the full billing lifecycle
- Conduct AR follow-up on unpaid, denied, or underpaid claims with insurance payors
- Identify and resolve coding-related denials; resubmit corrected claims as needed
- Work aging AR reports to reduce outstanding balances and days in AR
- Communicate with payors (calls, portals, correspondence) to resolve claim issues
- Answer incoming patient calls regarding account balances, explain charges, and address billing questions professionally
- Collaborate with providers and billing staff to clarify documentation and coding questions
- Stay current on payor policies, coding guideline updates, and compliance requirements
Investment In Our Team
We invest in the personal and professional success of our team. We take care of our people and offer robust benefits including medical, dental, vision, 401k, and generous time off plans. We are committed to supporting your growth with a development program that starts with onboarding and continues throughout your career. As an inclusive, passionate, and diverse team, you will partner with professionals who understand the importance of high-value, high-impact patient care.
About You
- Certified Professional Coder (CPC) certification required
- Minimum 2 years of recent experience in AR follow-up and denial management
- Minimum 1 year of hands-on experience working in eClinicalWorks (eCW)
- Demonstrated experience with outpatient medical coding
- Experience posting insurance payments, including EOB/ERA processing, adjustments, and write-offs
- Experience communicating directly with patients regarding account balances, charges, and billing questions
- Strong working knowledge of CPT, ICD-10, HCPCS, and payor billing requirements
- Working knowledge of Medicare, Medicaid, and commercial payor guidelines
- Strong attention to detail with a commitment to coding accuracy and compliance
- Ability to independently manage priorities and follow work through to resolution in a remote environment
- Strong written and verbal communication skills
- Reliable internet access and the ability to maintain a HIPAA-compliant remote workspace
Hourly Pay Range
$24—$29 USD
The salary range listed reflects the full compensation range for this role level at Oasis and is designed to support growth over time. Actual offers may vary based on a candidate’s skills, experience, and alignment with the scope of the role. Offers near the top of the range are uncommon and generally reflect exceptionally deep, directly relevant experience.
At this time, we are unable to sponsor employment visas. Candidates must be authorized to work in the United States without a current or future visa sponsorship. This role is open to applicants currently residing in the United States.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status, or disability status.