Charge Capture Manager (CodingBilling) HealthCare

The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controller-ship at the lowest cost to the company. We provide the backbone systems and operational processes which completely accurately and validly pay Amazons suppliers invoice our customers and report financial results. Amazon is quickly building the Finance Operations capabilities in the healthcare industry by creating the Healthcare Finance Operations Services.

As part of the Healthcare Finance Operations Services team you will find yourself working with exceptionally talented 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 the Healthcare Finance Charge Capture Manager you will have oversight of the people process and technology functions for medical revenue cycle operations including but not limited to coding billing claims management and AR management.

The ideal candidate will have prior leadership experience in Revenue Cycle Management - Charge Capture. You are experienced in ensuring compliance with applicable regulations and developing mechanisms for operational adherence to these policies.

This is both a strategic and a hands-on role that requires strong leadership skills a high degree of organization strong written and verbal communication and a passion for collaboration in the design of data driven programs that optimize reimbursement and revenue and with a focus on the shared services functions. The Manager will have a deep knowledge of the healthcare industry or a willingness to learn.

Key job responsibilities
- Lead a team responsible for accurate timely charge entry coding edit resolution billing edit resolution recode requests and claim submission.
- Maintain KPIs accuracy targets and daily production goals across charge capture coding and billing edit workflows.
- Oversee coding edits that require diagnosis procedure modifier provider or documentation review before claims can move forward.
- Manage billing edits including local edit errors and system edits requiring claim correction prior to submission.
- Review and route recode requests to ensure coding corrections are completed accurately supported by documentation and processed within expected turnaround times.
- Manage missing encounter workqueues by identifying checked-out appointments with no corresponding billing ticket.
- Manage orphaned order workqueues by resolving fulfilled orders with no associated billing ticket.
- Troubleshoot routine system issues identify root causes and escalate recurring or complex issues to the appropriate support teams.

- Bachelors degree in Healthcare Business Administration Finance or a related field.
- Minimum of 3 years of progressively responsible Revenue Cycle Management experience with strong working knowledge of charge capture operations.
- Strong financial management skills including data analysis for operations auditing forecasting staffing and financial reporting.
- Basic understanding of accounting principles and their application to revenue cycle operations.
- Experience leading cross-functional discussions and working with matrixed stakeholders to achieve shared business goals.
- Excellent executive-level written verbal and presentation communication skills.
- Proven track record of taking ownership driving process improvements and delivering measurable operational and driving results. Strong bias for action and be able to work iteratively. Possesses an exceptional eye for detail and process improvement.

- Experience with multi-state federal and jurisdictional payer requirements reimbursement rules and revenue cycle regulations.
- Project management experience including planning execution stakeholder coordination and delivery tracking.
- Experience managing global processes across multiple regions teams and time zones.
- Strong analytical skills with the ability to make sound timely decisions under pressure.
- Strong critical thinking skills with the ability to challenge current processes and identify process improvement opportunities.
- Working knowledge of HIPAA guidelines and healthcare compliance requirements.
- Active coding billing or healthcare information credential such as CPC CCS and/or CPB.

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