Medical Coding Specialist

1 week ago


Manila, National Capital Region, Philippines Amazon Full time

About the Role:

The Finance Operations organization at Amazon is seeking a highly skilled Medical Coding Specialist to join our Healthcare team. As a key member of the Revenue Cycle team, you will play a critical role in reviewing the coding accuracy of claims and ensuring compliance with industry standards.

Key Responsibilities:

  • Managing multiple coding-related projects and ensuring deliverables meet One Medical's high standards
  • Remaining current on CPT, ICD-10-CM coding guidelines, AHA Coding Clinic Guidance, and CMS Risk Adjustment guidance
  • Assigning appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment
  • Collaborating with the Medicare Risk Operations team to ensure positive program outcomes

Requirements:

  • CPC certification through AAPC and/or CCS certification through AHIMA is required
  • 1+ year of experience as an outpatient and/or risk adjustment coder
  • Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
  • Possesses advanced knowledge and understanding of HCC risk adjustment, coding, and documentation requirements


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