Medical Coder - Profee Coding, Healthcare

Amazon Operation Services Philippines, Inc.; Philippines; On-site; PHP 480,000 - 720,000; Full time

Job summary

Amazon Operation Services Philippines, Inc. is hiring a Senior Medical Coder to join the Revenue Cycle team in Pasay City. The role focuses on reviewing coding accuracy for claims and ensuring compliance with CPT, ICD-10-CM guidelines and RCM standards.

Required are a completed Bachelor's Degree and CPC and/or CCS certification, plus 1+ year of outpatient or risk adjustment coding experience. The position supports One Medical and broader Amazon Healthcare FinOps initiatives within a dynamic,

Qualifications

• Bachelor's degree required
• CPC certification and/or CCS certification required
• 1+ year experience as an outpatient and/or risk adjustment coder
• Knowledge of health systems operations and reimbursement methodologies
• Ability to perform accurate chart reviews for HCC risk adjustment
• Experience in a coding production environment

Responsibilities

• Manage multiple coding-related projects to One Medical standards within deadlines
• Stay current with CPT, ICD-10-CM coding guidelines and CMS Risk Adjustment requirements
• Accurately code office visits, procedures, and diagnoses in production
• Review and respond to email requests promptly with accuracy
• Collaborate with Revenue Cycle Management teams to drive positive revenue outcomes

Skills

CPC certification

CCS certification

Outpatient coding experience

Education

Bachelor's Degree

Job description

The Finance Operations organization partners with teams across Amazon to deliver operations accounting and operational excellence services with a high standard of controllership while optimizing costs. We provide the core systems and processes that ensure suppliers are paid accurately, customers are billed correctly, and financial results are reported with integrity.

Amazon is rapidly expanding its Finance Operations capabilities within the healthcare space through Healthcare FinOps (HFO). As part of HFO, you will collaborate with highly skilled professionals dedicated to driving financial performance, scalability, and process excellence, supporting businesses such as Amazon Pharmacy and One Medical.

To support the continued growth of these Amazon Healthcare business units, we are seeking individuals who demonstrate strong accountability, uphold high standards, and consistently raise the bar. This role requires a proactive mindset focused on delivering results and continuously improving current and future state operations, systems, and processes in partnership with leadership.

As we scale our ability to deliver innovative primary care across the U.S. through One Medical, our supporting teams continue to grow. Amazon Healthcare FinOps is hiring Senior Medical Coders to join the Revenue Cycle team. In this role, you will support One Medical’s clinical and revenue cycle teams by reviewing the coding accuracy of claims.

This is an office-based position located in Pasay City.

Key job responsibilities

• Manage multiple coding-related projects, ensuring deliverables meet One Medical standards and are completed within established timelines.
• Stay current with CPT, ICD-10-CM coding guidelines, AHA Coding Clinic guidance, and CMS Risk Adjustment requirements.
• Accurately assign ICD-10-CM, CPT, and other relevant codes for office visits, procedures, and diagnoses in a production environment.
• Review and respond to email requests in a timely manner, ensuring completeness and accuracy.
• Collaborate with Revenue Cycle Management (RCM) cross-functional teams to drive positive revenue outcomes.

Requirements

• Completed Bachelor's Degree
• CPC certification through AAPC and/or CCS certification through AHIMA is required
• 1+ year as an outpatient and/or risk adjustment coder
• Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
• Demonstrates the ability to perform accurate and complete chart reviews for HCC risk Adjustment
• Possess advanced knowledge and understanding of HCC risk adjustment, coding, and documentation requirements.
• Previous experience in a coding production environment.
• - - CPC certification through AAPC and/or CCS certification through AHIMA is required
• - - 1+ year as an outpatient and/or risk adjustment coder
• - - Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
• - - Demonstrates the ability to perform accurate and complete chart reviews for HCC risk Adjustment
• - - Possess advanced knowledge and understanding of HCC risk adjustment, coding, and documentation requirements.
• - - Previous experience in a coding production environment.