Description
As a key member of the Amazon One Medical Revenue Cycle team, the Coding Compliance Auditing Manager will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. Demonstrating increased autonomy and strategic thinking and problem-solving skills, this role will lead a team of coding compliance auditors, ensuring accurate medical coding practices, and maintaining compliance with regulatory requirements. This role reports into the Manager III, Revenue Cycle.
As someone who naturally enjoys finding ways to improve the status quo, you adeptly identify and create processes necessary to get work done. You comfortably interact with your team members as well as other teams and easily tailor your message and communication style to different audiences. You have a high accountability bar and know how to motivate others, consistently following through on commitments and ensuring others do the same.
Key job responsibilities
- Manage, mentor, and develop a team of coding compliance auditors
- Establish performance standards, metrics, audit schedules, comprehensive audit protocols, and monitor coding accuracy rates
- Coordinate workload distribution and maintain productivity standards
- Provide ongoing feedback, education, and training to team members
- Provide guidance on challenging coding scenarios and ensure adherence to ICD-10-CM, CPT, and HCPCS coding guidelines
- Monitor and stay current with updates to coding regulations and implement necessary changes
- Maintain documentation of audit findings and corrective actions
Basic Qualifications
- 3+ years of direct leadership/supervisory experience
- Bachelor's degree in Healthcare, Business, Human Resources, or related field
- 5+ years of coding/auditing experience in the professional fee and/or risk adjustment setting working with Medicare, Medicare Advantage, and Commercial payers required.
- Knowledge of industry standard code sets and associated guidelines (ICD-10-CM, CPT, HCPCS).
- Possesses advanced knowledge and understanding of HCC Risk Adjustment, coding and documentation requirements.
- CPC certification through AAPC and/or CCS certification through AHIMA required.
- CPMA and CRC certification through AAPC required.
Preferred Qualifications
- Experience in project management including resource planning, managing schedules, reporting project status and prioritizing own tasks and those of other team members for multiple projects
- Experience that includes strong analytical skills, attention to detail, and effective communication abilities
- Experience working proactively and independently, meeting deadlines, and delivering on projects and tasks
- Demonstrates ability to identify and communicate trends in coding and documentation.
- Complies with policies and procedures for confidentiality of all patient records and security of systems.
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
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 including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for 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 .
USA, VA, Virtual Location - Virginia - 85,100.00 - 148,900.00 USD annually