Medical Coder - Profee Coding, Healthcare

The Finance Operations organization partners with teams across Amazon to deliver operations accounting and operational excellence services with a high standard of controllership while optimizing costs. We provide the core systems and processes that ensure suppliers are paid accurately, customers are billed correctly, and financial results are reported with integrity.

Amazon is rapidly expanding its Finance Operations capabilities within the healthcare space through Healthcare FinOps (HFO). As part of HFO, you will collaborate with highly skilled professionals dedicated to driving financial performance, scalability, and process excellence, supporting businesses such as Amazon Pharmacy and One Medical.

To support the continued growth of these Amazon Healthcare business units, we are seeking individuals who demonstrate strong accountability, uphold high standards, and consistently raise the bar. This role requires a proactive mindset focused on delivering results and continuously improving current and future state operations, systems, and processes in partnership with leadership.

As we scale our ability to deliver innovative primary care across the U.S. through One Medical, our supporting teams continue to grow. Amazon Healthcare FinOps is hiring Senior Medical Coders to join the Revenue Cycle team. In this role, you will support One Medical’s clinical and revenue cycle teams by reviewing the coding accuracy of claims.

This is an office-based position located in Pasay City.

Key job responsibilities
- Manage multiple coding-related projects, ensuring deliverables meet One Medical standards and are completed within established timelines.
- Stay current with CPT, ICD-10-CM coding guidelines, AHA Coding Clinic guidance, and CMS Risk Adjustment requirements.
- Accurately assign ICD-10-CM, CPT, and other relevant codes for office visits, procedures, and diagnoses in a production environment.
- Review and respond to email requests in a timely manner, ensuring completeness and accuracy.
- Collaborate with Revenue Cycle Management (RCM) cross-functional teams to drive positive revenue outcomes.

Basic Qualifications

- Completed Bachelor's Degree
- CPC certification through AAPC and/or CCS certification through AHIMA is required
- 1+ year as an outpatient and/or risk adjustment coder
- Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
- Demonstrates the ability to perform accurate and complete chart reviews for HCC risk Adjustment
- Possess advanced knowledge and understanding of HCC risk adjustment, coding, and documentation requirements.
- Previous experience in a coding production environment.
- - CPC certification through AAPC and/or CCS certification through AHIMA is required
- - 1+ year as an outpatient and/or risk adjustment coder
- - Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
- - Demonstrates the ability to perform accurate and complete chart reviews for HCC risk Adjustment
- - Possess advanced knowledge and understanding of HCC risk adjustment, coding, and documentation requirements.
- - Previous experience in a coding production environment.

Preferred Qualifications

- 1+ years as an outpatient and/or risk adjustment auditor
- 1+ years’ experience in Medicare/Medicare Advantage
- A CRC license must be obtained within one year of hire (to be sponsored)
- Must have strong experience in Microsoft or Google Suite in spreadsheets and PowerPoint
- Works effectively and efficiently within a team environment.
- Adaptable to shifting priorities and demonstrates willingness to do what it takes to meet client and team needs.
- Complies with policies and procedures for the confidentiality of all patient records and the security of systems.
- Ability to work independently and meet quality of work and workload expectations
- Ability to manage multiple projects
- Strong written, verbal, communication, and attention to detail skills.
- Strong organizational, analytical, problem-solving, and time management skills Our inclusive culture empowers Amazonians to deliver the best results for our customers.

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.