Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical

Saved 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

Requirements: - 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