Senior Medical Coder, HealthCare

The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controllership at the lowest cost to the company. We provide backbone systems and operational processes that completely, accurately, and validly pay Amazon's suppliers, invoice our customers, and report financial results.

Amazon is quickly building finance operations capabilities in the healthcare industry by creating Healthcare Finance Operations (HFO). As part of the Amazon Healthcare Global Finance Operations Services team, you will find yourself working with exceptionally talented individuals committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon Healthcare, 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.

As we continue to grow and scale our ability to provide innovative primary care across the country, the teams that support this critical work are expanding as well. Amazon Healthcare is seeking to hire experienced Medical Coders for Outpatient Coding or Edits and Denials Teams. As a member of the Revenue Cycle group, the Coder will be responsible for delivering accurate and compliant coding across outpatient services while also supporting charge capture accuracy, resolving coding-related edits, and contributing to denial prevention. This role plays a key part in ensuring claims are coded correctly the first time, pass payer edits efficiently, and support timely, accurate reimbursement. Candidates with strong outpatient coding experience or specialized expertise in edits and denials are encouraged to apply.

This position is office-based in Pasay City.

Key job responsibilities
- Perform accurate and compliant coding for outpatient services and/or manage charge capture, edits, and denials to ensure claims meet One Medical and Amazon standards within required turnaround times.

- Review, analyze, and resolve coding-related edits and denials, assigning appropriate ICD-10-CM, CPT, and HCPCS codes to support accurate, timely, and compliant billing.

- Ensure coding quality and documentation integrity in accordance with payer requirements, CMS guidelines, and industry standards to reduce denials and drive high first-pass claim acceptance rates.

- Collaborate with Revenue Cycle cross-functional teams to identify root causes of coding issues, edits, and denials, and recommend sustainable process or documentation improvements.

- Monitor trends, patterns, and opportunities in coding performance, escalating risks as needed and contributing to initiatives that enhance charge capture and strengthen overall coding accuracy.

- Maintain current knowledge of CPT, ICD-10-CM, HCPCS, payer policies, AHA Coding Clinic guidance, and evolving compliance regulations to ensure ongoing coding excellence.

- Manage multiple charge capture and coding-related edits for claims while ensuring deliverables meet One Medical and Amazon standards within required turnaround times.
- Review claim edits and denials, resolve discrepancies, and assign appropriate ICD-10-CM, CPT, and HCPCS codes and other coding elements to support compliant billing.
- Ensure coding and documentation meet payer, CMS, and industry guidelines to minimize denials and maximize first-pass claim acceptance.
- Collaborate with Revenue Cycle, Clinical, and Operations teams to identify root causes of coding edits and denials and recommend process improvements.
- Monitor coding-related trends, provide feedback to leadership, and help develop solutions that strengthen charge capture integrity.
- Stay current on CPT, ICD-10-CM, HCPCS, payer policies, AHA Coding Clinic guidance, and compliance updates.

- 3+ years of outpatient coding experience, including work with charge capture, edits, or denials.
- Previous experience with Medicare/Medicare Advantage or commercial payer guidelines.
- Experience identifying coding trends and working cross-functionally to reduce denials.
- Strong skills in Microsoft Excel or Google Sheets and PowerPoint for reporting and analysis.
- Ability to work independently while also collaborating effectively within a team.
- Adaptable to shifting priorities and committed to meeting client and team needs.
- Maintains confidentiality of patient records and compliance with data security policies.
- Strong organizational, analytical, problem-solving, and time management skills.
- Excellent written and verbal communication skills with attention to detail.

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