Healthcare Coding Compliance Auditor - Revenue Cycle

Socket.dev

Arlington (VA)

On-site

USD 57,000 - 99,000

Full time

9 days ago

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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.