Strategic Healthcare Coding Compliance Auditor

Amazon; Arlington (VA); On-site; USD 57,000 - 99,000; Full time

Benefits offered by this job

Health insurance

401(k) matching

Paid time off

Parental leave

Job summary

Amazon One Medical is seeking a Coding Compliance Auditor to support the Revenue Cycle team in conducting detailed reviews of medical coding practices for accuracy and regulatory compliance. This role reports to the Coding Compliance Auditing Manager, Revenue Cycle.

The position requires experience in profee auditing and coding, achieving high attention to detail, and the ability to identify opportunities for process improvement. Strong communication and project management skills are essential.

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 accuracy

Regulatory compliance

Documentation

Communication skills

Project management

Education

Bachelor degree in healthcare related field

Tools

G Suite

Excel

Auditing tools

Job description

Amazon One Medical is seeking a Coding Compliance Auditor to support the Revenue Cycle team in conducting detailed reviews of medical coding practices for accuracy and regulatory compliance. This role reports to the Coding Compliance Auditing Manager, Revenue Cycle.

The position requires experience in profee auditing and coding, achieving high attention to detail, and the ability to identify opportunities for process improvement. Strong communication and project management skills are essential.