Senior Medical Coder – Charge Capture (Edits and Denials), HealthCare
Job Description
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 which 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. As part of the Amazon Healthcare Global Finance Operations Services team, you will find yourself working with exceptionally talented and determined people 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 Edits and Denials Coders for the Charge Capture team. As a member of the Revenue Cycle group, the Coder will focus on ensuring accurate charge capture, resolving coding edits, and reducing denials to safeguard financial integrity. This role plays a key part in ensuring claims are coded accurately and pass payer edits the first time, helping improve reimbursement and reduce delays in revenue.This position is office-based in Pasay City.Key job responsibilities• 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.
Locations
- Philippines, Manila, Manila, National Capital Region, Philippines
Salary
Salary not disclosed
Estimated Salary Rangemedium confidence
25,000 - 40,000 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Required Qualifications
- - Manage multiple charge capture and coding-related edits for claims while ensuring deliverables meet One Medical and Amazon standards within required turnaround times. (experience)
- - 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. (experience)
- - Ensure coding and documentation meet payer, CMS, and industry guidelines to minimize denials and maximize first-pass claim acceptance. (experience)
- - Collaborate with Revenue Cycle, Clinical, and Operations teams to identify root causes of coding edits and denials and recommend process improvements. (experience)
- - Monitor coding-related trends, provide feedback to leadership, and help develop solutions that strengthen charge capture integrity. (experience)
- - Stay current on CPT, ICD-10-CM, HCPCS, payer policies, AHA Coding Clinic guidance, and compliance updates. (experience)
Preferred Qualifications
- - 3+ years of outpatient coding experience, including work with charge capture, edits, or denials. (experience, 3 years)
- - Previous experience with Medicare/Medicare Advantage or commercial payer guidelines. (experience)
- - Experience identifying coding trends and working cross-functionally to reduce denials. (experience)
- - Strong skills in Microsoft Excel or Google Sheets and PowerPoint for reporting and analysis. (experience)
- - Ability to work independently while also collaborating effectively within a team. (experience)
- - Adaptable to shifting priorities and committed to meeting client and team needs. (experience)
- - Maintains confidentiality of patient records and compliance with data security policies. (experience)
- - Strong organizational, analytical, problem-solving, and time management skills. (experience)
- - Excellent written and verbal communication skills with attention to detail. (experience)
Responsibilities
- • 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.
Documents
Application Instructions
https://www.amazon.jobs/en/jobs/3111173