Coding Compliance Auditor, Revenue Cycle Management, Amazon One Medical
Job ID: 10400420 | Amazon.com Services LLC - A57
Application deadline: Apr 28, 2026
Key Job ResponsibilitiesConduct 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 QualificationsAssociate'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 QualificationsBachelor'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