Medical Coding Specialist
1 week ago
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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