Medical Coding Auditor I, Amazon
Amazon.com
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
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.
Key job responsibilities
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.
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