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Medical Coding and Compliance Expert

2 weeks ago

Manila, National Capital Region, Philippines Amazon Full time
About the Job

We are seeking a highly skilled Sr. Medical Coder to join our Revenue Cycle team at Amazon Healthcare. In this role, you will be responsible for reviewing the coding accuracy of claims and working closely with our Clinical and Revenue Cycle teams.

This is an excellent opportunity to grow your career in healthcare operations and work with a talented team committed to delivering high-quality results.

Responsibilities
  • Oversee multiple coding projects, ensuring timely completion and adherence to One Medical standards.
  • Stay up-to-date on CPT, ICD-10-CM, and CMS Risk Adjustment guidelines.
  • Assign accurate ICD-10-CM, CPT, and other relevant codes in a production environment.
  • Collaborate with the Medicare Risk Operations team to drive positive program outcomes.
Qualifications
  • CPC certification through AAPC or CCS certification through AHIMA is mandatory.
  • At least 1 year of experience in outpatient and/or risk adjustment coding.
  • Strong understanding of health systems operations, reimbursement methodologies, and coding conventions.
  • Able to perform accurate chart reviews for HCC risk Adjustment.
  • Familiarity with HCC risk adjustment, coding, and documentation requirements.
  • Previous experience in a coding production environment.