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Rx.Health (Commure Engage) · 3 months ago

Operations Associate/Senior Associate, Medical Coding (Multi-Specialty)

Mountain View, CA

Full-time

Onsite

Entry, Mid, Senior Level

$60K/yr - $80K/yr

2+ years exp

Commure is a company dedicated to simplifying healthcare through innovative AI solutions. The Senior Operations Associate will optimize workflows, ensure coding accuracy and compliance, and support automation initiatives across various clinical specialties.

Health CareHealth InsuranceHospitalLife Science

Responsibilities

Lead coding quality initiatives across multiple specialties to ensure accuracy, compliance, and optimal reimbursement

Conduct audits and root cause analysis on coding-related discrepancies and denials, implementing corrective actions and long-term process improvements

Use SQL and data analysis tools to validate coding outputs, identify trends, and generate actionable insights for stakeholders

Partner with cross-functional teams, including RCM, product, and client operations; to resolve complex issues and drive scalable outcomes

Contribute subject matter expertise to internal and external projects involving coding automation, auditing, and compliance initiatives

Serve as a liaison between the outsourced coding team and client sites, ensuring clear communication of queries, documentation needs, and action items

Participate in client-facing meetings to provide coding updates, resolve issues, and present analytical insights and recommendations

Qualification

CPC certificationCoding standardsSQLData analysisMedical terminologyAnalytical skillsCommunication skillsCollaboration skillsAttention to detailOwnership-driven approach

Required

CPC certification (required); additional credentials such as CCS, CIC, or COC are strongly preferred

2+ years of hands-on coding experience in multi-specialty environments (e.g., E/M, surgical, procedural, and diagnostic coding) adhering to quality metrics

Deep understanding of coding guidelines, medical terminology, documentation requirements, and payer rules

Excellent attention to detail, analytical skills, and commitment to maintaining data integrity

Strong communication and collaboration skills across technical and non-technical teams

A proactive, ownership-driven approach with the ability to thrive in a fast-moving, high-growth organization

Preferred

Health-tech or healthcare industry experience/exposure preferred

SQL and data analysis skills preferred; ability to query and interpret structured data to validate coding and reporting accuracy

Prior experience in a tech-enabled healthcare, EHR/EHR-integrated coding, or AI-assisted coding environment is a plus

Company

Rx.Health (Commure Engage)

𝐖𝐞’𝐫𝐞 𝐞𝐱𝐜𝐢𝐭𝐞𝐝 𝐭𝐨 𝐬𝐡𝐚𝐫𝐞 𝐭𝐡𝐚𝐭 𝐑𝐱.𝐇𝐞𝐚𝐥𝐭𝐡 𝐢𝐬 𝐧𝐨𝐰 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐂𝐨𝐦𝐦𝐮𝐫𝐞 𝐄𝐧𝐠𝐚𝐠𝐞, 𝐞𝐱𝐩𝐚𝐧𝐝𝐢𝐧𝐠 𝐨𝐮𝐫 𝐜𝐚𝐩𝐚𝐛𝐢𝐥𝐢𝐭𝐢𝐞𝐬 𝐚𝐧𝐝 𝐫𝐞𝐚𝐜𝐡!! After impacting over 30 million lives across leading health systems and supporting more than 60 million members through UnitedHealthcare, our team and resources have grown significantly to better serve providers, payers, and patients worldwide.

Founded in 2017

New York, New York, USA

11-50 employees