Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical

Socket.dev; Arlington (VA); On-site; USD 57,000 - 99,000; Full time

Job summary

Amazon is seeking a Coding Compliance Auditor to support its Revenue Cycle teams, focusing on reviewing medical coding practices for accuracy and regulatory compliance. The role emphasizes process improvement, effective communication, and independent work to uphold policy standards.

The position reports to the Coding Compliance Auditing Manager, Revenue Cycle, with responsibilities spanning audits, documentation review, and escalation of compliance concerns across the organization.

Qualifications

• Experience in profee auditing, coding, and documentation requirements.
• Experience in performing accurate and complete chart reviews for profee coding.
• AAPC/CCS CPC certification or AHIMA CCS certification.

Responsibilities

• Conduct regular audits to verify accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes.
• Review documentation to verify appropriate code assignment.
• Ensure coding reflects clinical documentation and meets medical necessity requirements.
• Identify coding inaccuracies and opportunities for improvement.
• Track and report coding errors and findings.
• Maintain detailed records of audit findings.
• Ensure adherence to coding guidelines and regulatory requirements.
• Follow established policies and procedures, and surfaces and escalates compliance concerns as appropriate.
• Communicate audit findings effectively.

Skills

Profee auditing

Coding

Chart reviews

Documentation

Audit reporting

Project management

Communication skills

Education

Bachelor's degree in healthcare

Tools

G Suite

Excel

Auditing tools

Job description

As a key member of the Amazon One Medical Revenue Cycle team the Coding Compliance Auditor will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. Demonstrating increased autonomy and strategic thinking and problem-solving skills, this role will perform detailed reviews of medical coding practices to ensure accuracy, compliance with regulatory requirements and adherence to organizational policies and procedures. This role reports into the Coding Compliance Auditing Manager, Revenue Cycle.

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.

Key job responsibilities

• Conduct regular audits to verify accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes.
• Review documentation to verify appropriate code assignment
• Ensure coding reflects clinical documentation and meets medical necessity requirements
• Identify coding inaccuracies and opportunities for improvement
• Track and report coding errors and findings.
• Maintain detailed records of audit findings
• Ensure adherence to coding guidelines and regulatory requirements
• Follow established policies and procedures, and surfaces and escalates compliance concerns as appropriate
• Communicate audit findings effectively

Basic Qualifications

• Experience in profee auditing, coding, and documentation requirements
• Experience in performing accurate and complete chart reviews for profee coding
• AAPC/CCS CPC certification or AHIMA CCS certification

Preferred Qualifications

• Experience prioritizing and managing multiple responsibilities
• Bachelor's degree in healthcare related field.
• Ability to manage projects, and processes leveraging reports and metrics.
• Fluency in G-suite, Excel, and auditing tools.
• Demonstrates ability to identify and communicate trends in coding and documentation.
• Strong written, verbal, communication, and attention to detail skills.
• Strong organizational, analytical, problem solving, and time management skills.
• 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.

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.

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.

The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits.

USA, VA, Arlington - 56,700.00 - 99,300.00 USD annually