Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical

Amazon Inc.

Arlington (VA)

On-site

USD 57,000 - 99,000

Full time

10 days ago

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Benefits offered by this job

Health insurance (medical, dental, and
401(k) matching
Paid time off
Parental leave

Job summary

Amazon One Medical is seeking a Coding Compliance Auditor to strengthen the Revenue Cycle team. You will audit coding accuracy, ensure regulatory compliance, and drive process improvements across clinical and coding operations.

The role emphasizes autonomy, problem solving, and clear communication of findings. Qualifications include professional fee auditing experience and coding certifications; fluency with Excel and auditing tools is preferred.

Qualifications

  • Experience auditing professional fee coding and documentation requirements.
  • Experience performing accurate chart reviews for professional coding.
  • Proficiency with Office/Excel and auditing tools.

Responsibilities

  • Conduct regular audits to verify ICD-10-CM, CPT, HCPCS, and modifier codes.
  • Review documentation to verify code assignment.
  • Ensure coding reflects documentation and meets medical necessity.
  • Identify 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.
  • Escalate compliance concerns when needed.
  • Communicate audit findings effectively.

Skills

Profec auditing experience
Coding and documentation requirements
G Suite & Excel proficiency

Education

AAPC/CCS CPC or AHIMA CCS certification

Job description

Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical

Job ID: 10536507 | Amazon.com Services LLC

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.

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.

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

Location: USA, WA, Virtual Location - Washington

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.

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