Coding Compliance Auditor

Job Summary

To support the Amazon One Medical Revenue Cycle team, the full-time Coding Compliance Auditor will conduct audits of medical coding practices, ensuring compliance with regulatory requirements and organizational policies while working remotely.

Key responsibilities

• Conduct regular audits to verify the accuracy of ICD-10-CM, CPT, HCPCS, and modifier medical codes
• Review documentation to ensure appropriate code assignment and adherence to medical necessity requirements
• Track and report coding errors and findings, maintaining detailed records of audit results

Required qualifications

• Associate's degree in a related field
• 3+ years of coding/auditing experience in professional fee and/or risk adjustment settings
• Knowledge of industry standard code sets and associated guidelines (ICD-10-CM, CPT, HCPCS)
• CPC certification through AAPC and/or CCS certification through AHIMA required
• CPMA and CRC certification through AAPC required