Senior Healthcare Coding Compliance Auditor

Amazon; Northern (KY); Hybrid; USD 57,000 - 99,000; Full time

Benefits offered by this job

Health insurance

401(k) matching

Paid time off

Job summary

Amazon One Medical is seeking a Coding Compliance Auditor to support Revenue Cycle teams in managing compliant coding practices. You will audit ICD-10-CM, CPT, HCPCS, and modifiers, verify documentation, and ensure medical necessity while maintaining detailed audit records.

Requirements include 3+ years in coding/auditing for Medicare/Commercial payers, CPC/CCS/CPMA/CRC certifications, and strong communication skills. This role emphasizes accuracy, policy adherence, and cross-team collaboration.

Qualifications

• 3+ years of coding/auditing experience in professional fee or risk adjustment with Medicare/Medicare Advantage/Commercial payers.
• Knowledge of ICD-10-CM, CPT, HCPCS and related guidelines.
• CPC and CCS certifications required; CPMA and CRC certifications required.

Responsibilities

• Conduct audits to verify ICD-10-CM, CPT, HCPCS, and modifier codes.
• Review documentation to verify appropriate code assignment.
• Ensure coding reflects clinical documentation and medical necessity.
• Identify coding inaccuracies and opportunities for improvement.
• Track and report coding errors and findings.
• Maintain detailed records of audit findings and compliance.

Skills

Project management

G-Suite

Excel

Auditing tools

Communication

Attention to detail

Education

Associate's degree

Bachelor's degree in healthcare

Tools

G-Suite

Excel

Auditing tools

Job description

Amazon One Medical is seeking a Coding Compliance Auditor to support Revenue Cycle teams in managing compliant coding practices. You will audit ICD-10-CM, CPT, HCPCS, and modifiers, verify documentation, and ensure medical necessity while maintaining detailed audit records.

Requirements include 3+ years in coding/auditing for Medicare/Commercial payers, CPC/CCS/CPMA/CRC certifications, and strong communication skills. This role emphasizes accuracy, policy adherence, and cross-team collaboration.