Senior Medical Coder - Outpatient ProFee Coding, HealthCare

Amazon; Philippines; On-site; PHP 360,000 - 540,000; Full time

Job summary

AOSP - Manila is seeking an experienced Medical Coder to support Revenue Cycle Management for Commercial Health operations in Pasay City. You will review, validate, and ensure accuracy of professional fee coding in a commercial payer environment, contributing to clean claim submissions and revenue integrity.

You will work with Clinical and RCM partners, maintain CPT/ICD-10-CM knowledge, and support audits and provider education to improve documentation quality and reimbursement outcomes.

Qualifications

• CPC or CCS certification required and current.
• 1+ year outpatient or risk adjustment coding experience.
• Knowledge of CPT, ICD-10-CM, E/M guidelines and payer policies.
• Ability to review charts for HCC risk adjustment.
• Experience in a coding production environment.
• Strong written and verbal communication.

Responsibilities

• Support clean claim submission and optimal reimbursement across services.
• Manage coding initiatives and daily production to meet quality standards.
• Maintain knowledge of CPT, ICD-10-CM, E/M guidelines and payer policies.
• Assign accurate diagnosis, CPT/ICD-10 codes and modifiers.
• Review coding inquiries and payer responses within SLAs.
• Work with Revenue Cycle teams to reduce errors and improve payments.
• Analyze denial trends and provide insights to leadership.
• Support audits and provider education to improve documentation quality and reimbursement outcomes.

Skills

CPC/CCS coding knowledge

Reimbursement methodologies

HCC risk adjustment understanding

Attention to detail

Communication skills

Education

CPC certification through AAPC

CCS certification through AHIMA

CRC license (within 1 year, sponsorship)

Tools

Microsoft Office

PowerPoint

Google Suite

Job description

Description

The Finance Operations organization works with every part of Amazon to deliver world-class operations accounting and operational excellence with the highest standards of controllership and efficiency. We design, operate, and continuously improve the core systems and processes that accurately and timely pay suppliers, invoice customers, and report financial results that enable the business to scale with confidence.

The Finance Operations organization works with every part of Amazon to deliver world-class operations accounting and operational excellence with the highest standards of controllership and efficiency. We design, operate, and continuously improve the core systems and processes that accurately and timely pay suppliers, invoice customers, and report financial results that enable the business to scale with confidence.

Amazon Health Services (AHS) continues to rapidly expand its Healthcare FinOps capabilities to support the growth of its One Medical Commercial Health services. As part of the global Healthcare Finance Operations team, you will work alongside highly driven, talented professionals who are deeply committed to financial integrity, scalability, and process excellence. Success in this role requires a strong sense of ownership, a passion for raising the bar, and the ability to drive measurable results through continuous improvement of current- and future-state operations, systems, and workflows in close partnership with management and clinical stakeholders.

Amazon Healthcare Finance Operations is seeking experienced Medical Coders to support the Revenue Cycle Management for Commercial Health operations. In this role, the Medical Coder will work closely with Clinical and Revenue Cycle partners to review, validate, and ensure the accuracy of professional fee coding in a commercial payer environment, directly contributing to clean claim submission, optimized reimbursement, and overall revenue integrity.

This position is office-based in Pasay City.

Key job responsibilities

• Partner with cross-functional Revenue Cycle Management (RCM) teams to support clean claim submission and optimal reimbursement across commercial and Medicare-related services, including Evaluation & Management (E&M) services and Annual Wellness Visits (AWVs).
• Manage multiple coding initiatives and daily production work to ensure accuracy, quality, and turnaround-time standards are consistently met.
• Maintain current knowledge of CPT, ICD-10-CM, E&M guidelines, modifier usage, commercial payer policies, and Medicare preventive service requirements.
• Assign accurate diagnosis, procedure, E&M levels, preventive service codes, and applicable modifiers for professional fee encounters.
• Review and resolve coding inquiries, edits, and payer responses within defined service-level expectations.
• Work closely with Revenue Cycle functional teams to identify root causes of errors, implement corrective actions, and improve first-pass payment outcomes.
• Analyze coding, E&M leveling, preventive service, and denial trends and communicate actionable insights to leadership and clinical partners.
• Support audits, provider education, and continuous improvement efforts focused on documentation quality and revenue integrity.

Basic Qualifications

• 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.

Preferred Qualifications

• 1+ years as an outpatient and/or risk adjustment auditor
• 1+ years’ experience in Medicare/Medicare Advantage
• A CRC license must be obtained within one year of hire (to be sponsored)
• Must have strong experience in Microsoft or Google Suite in spreadsheets and PowerPoint
• Works effectively and efficiently within a team environment.
• Adaptable to shifting priorities and demonstrates willingness to do what it takes to meet client and team needs.
• Complies with policies and procedures for the confidentiality of all patient records and the security of systems.
• Ability to work independently and meet quality of work and workload expectations
• Ability to manage multiple projects
• Strong written, verbal, communication, and attention to detail skills.
• Strong organizational, analytical, problem-solving, and time management skills Our inclusive culture empowers Amazonians to deliver the best results for our customers.

Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner.

Company

AOSP - Manila

Job ID: A10374784