Medical Coding Auditor I, Revenue Cycle Management, Amazon One Medical

As a member of the Amazon One Medical Revenue Cycle team, the Medical Auditor I will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the Manager I, Revenue Cycle.
As part of Amazon Health Services, you will find yourself working with exceptionally talented people committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon Health Services, this candidate must possess a strong passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with Management.

Key job responsibilities
● Managing multiple auditing related projects and ensuring deliverables are up to One Medical standards while being turned around in an acceptable time frame.
● Remaining current on CPT, ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS guidance.
● Assign appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment.
● Responsible for the review and completion of email requests in a timely manner.
● Work collaboratively with the One Medical Clinical and Operations teams to ensure positive program outcomes.
● Training new hires on workflows, internal coding guidelines, Electronic Health Record, and the Practice Management systems.
● Conducting focused audits identified by internal departments,incuding but not limited to Legal and Compliance.
● Maintain accurate and organized records of audit findings.
● Identify and report any discrepancies or errors in coding patterns.
● Meet and/or exceed productivity and quality goals

A day in the life
A Medical Auditor and Coder begins their day reviewing patient medical records and clinical documentation. They analyze physician notes, lab results, and treatment plans to assign accurate diagnostic and procedural codes using ICD-10 and CPT systems. Throughout the day, they conduct audits to ensure coding accuracy and compliance with healthcare regulations, investigate coding discrepancies, and collaborate with healthcare providers to clarify documentation. They participate in team meetings to discuss updates in coding guidelines and compliance requirements. Will be available to answer coding related questions from any internal teams or patient inquiries.

About the team
We are a dynamic group of healthcare documentation specialists dedicated to ensuring the highest standards of medical coding accuracy and compliance. Our mission is to bridge the crucial gap between clinical care and revenue integrity while maintaining high compliance with healthcare regulations. We have a collaborative spirit and work closely with clinicians, revenue cycle teams, and each other to achieve optimal outcomes. We pride ourselves on fostering an environment where questions are encouraged, knowledge is shared freely, and work-life balance is respected. Our team members range from experienced auditors to rising coding specialists, creating a rich mentorship ecosystem.

Basic Qualifications

● 1+ years as a Profee Coder in an office setting
● CPC certification through AAPC or CCS certification through AHIMA required
● Demonstrates ability to perform accurate and complete chart reviews for Profee
● Possesses knowledge and understanding of Profee, auditing, coding, and documentation requirements.
● Must have strong experience in Microsoft or Google suite in spreadsheets and PowerPoint

Preferred Qualifications

● Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
● Demonstrates ability to identify and communicate trends in provider coding and documentation.
● Strong written, verbal, communication, and attention to detail skills.
● Strong organizational, analytical, problem solving, and time management skills
● Works effectively and efficiently within a team environment.
● Adaptable to shifting priorities and demonstrates willingness to do what it takes to meet client and team needs.
● 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
● Ability to manage multiple projects.

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.

Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employ