Healthcare Coding Auditor: Elevate Documentation & Reimbursement

Prisma Health Urgent Care; Newnan (GA); Hybrid; USD 65,000 - 90,000; Full time

Job summary

WellStreet Urgent Care is seeking a Professional Coding Auditor to review clinical documentation and coding for accuracy, compliance, and proper charge capture. You’ll educate providers and coders, identify trends, and partner with leadership to improve reimbursement.

Responsibilities include auditing CPT/ICD-10 codes, ensuring documentation supports diagnoses, and addressing charge-capture issues while staying current with regulations and quality standards.

Qualifications

• Active CPC or CCS coding certification through AAPC or AHIMA.
• 2+ years of medical billing or coding auditing experience.
• Urgent Care or Occupational Health billing experience.
• Experience with billing software and electronic medical records.
• Epic experience is a plus.
• High school diploma or equivalent.

Responsibilities

• Perform coding audits of provider documentation and CPT/ICD-10 codes.
• Evaluate whether documentation supports the diagnoses and procedures billed.
• Identify coding errors, documentation deficiencies, charge-capture issues, and opportunities for improvement.
• Review coding deliverables from professional coders, physicians, and other healthcare professionals.
• Provide constructive, educational feedback to providers and coders.
• Deliver education related to coding requirements, documentation standards, and regulatory updates.
• Stay current on CMS, state, and payer coding regulations and requirements.
• Collaborate with the Coding Supervisor and Regional Medical Directors to improve documentation and coding accuracy.
• Perform charge entry and Charge Review activities as needed.
• Identify trends such as undercoding or other recurring coding issues and recommend corrective actions.

Skills

Auditing

Medical coding

Attention to detail

Analytical thinking

Education

CPC or CCS certification

Tools

Epic

Job description

WellStreet Urgent Care is seeking a Professional Coding Auditor to review clinical documentation and coding for accuracy, compliance, and proper charge capture. You’ll educate providers and coders, identify trends, and partner with leadership to improve reimbursement.

Responsibilities include auditing CPT/ICD-10 codes, ensuring documentation supports diagnoses, and addressing charge-capture issues while staying current with regulations and quality standards.