Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical Job ID: 10400420 | Amazon.com Services LLC - A57 Application deadline: Apr 28, 2026 Key Job Responsibilities
Conduct regular audits to verify accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes. Review documentation to verify appropriate code assignment. Ensure coding reflects clinical documentation and meets medical necessity requirements. Identify coding inaccuracies and opportunities for improvement. Track and report coding errors and findings. Maintain detailed records of audit findings. Ensure adherence to coding guidelines and regulatory requirements. Follow established policies and procedures, surface and elevate compliance concerns as appropriate. Communicate audit findings effectively.
Basic Qualifications
Associate's degree in a related field. 3+ years of coding/auditing experience in the professional fee and/or risk adjustment setting working with Medicare, Medicare Advantage, and Commercial payers. Knowledge of industry standard code sets and associated guidelines (ICD-10-CM, CPT, HCPCS). Advanced knowledge and understanding of HCC Risk Adjustment, coding and documentation requirements. CPC certification through AAPC and/or CCS certification through AHIMA. CPMA and CRC certification through AAPC.
Preferred Qualifications
Bachelor's degree in a related field. Ability to manage projects and processes leveraging reports and metrics. Fluency in G‑suite, Excel, and auditing tools. Demonstrates ability to identify and communicate trends in coding and documentation. Strong written, verbal, communication, and attention to detail skills. Strong organizational, analytical, problem‑solving, and time‑management skills. Adaptable to shifting priorities and demonstrates willingness to meet team needs. Complies with policies and procedures for confidentiality of all patient records and system security. Ability to work independently and meet quality and workload expectations.
Amazon is an equal‑opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status. Los Angeles County and San Francisco applicants, you will perform the duties outlined above and are exempt from criminal‑history screening, pursuant to the Fair Chance Ordinance of each jurisdiction. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation during the application and hiring process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for assistance. The base salary range for this position is listed below. Your Amazon package will include sign‑on payments and restricted stock units (RSUs). Final compensation will be determined based on factors such as experience, qualifications, and location. Amazon also offers comprehensive benefits, including health insurance (medical, dental, vision, prescription, Basic Life & AD&D; insurance, and optional supplemental life plans), EAP, mental health support, medical advice line, flexible spending accounts, adoption and surrogacy reimbursement coverage, 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits. #J-18808-Ljbffr