To support the Amazon One Medical Revenue Cycle team, the full-time Coding Compliance Auditor will conduct audits of medical coding practices, ensuring compliance with regulatory requirements and organizational policies while working remotely.
Key responsibilities
Conduct regular audits to verify the accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes
Review documentation to ensure appropriate code assignment and adherence to medical necessity requirements
Track and report coding errors and findings, maintaining detailed records of audit results
Required qualifications
Associate's degree in a related field
3+ years of coding/auditing experience in professional fee and/or risk adjustment settings
Knowledge of industry standard code sets and associated guidelines (ICD-10-CM, CPT, HCPCS)
CPC certification through AAPC and/or CCS certification through AHIMA required
CPMA and CRC certification through AAPC required