Finops Specialist - Coding HC, Healthcare

Amazon Healthcare Global Finance Operations Services

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 good 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.

Key job responsibilities include:

• 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.