Healthcare Coding Compliance Auditor & Educator

Socket.dev; Georgia; Hybrid; USD 85,000 - 115,000; Full time

Job summary

Wellstar is seeking an experienced Coding Compliance Auditor to independently audit professional fee coding under Medicare and Medicaid rules. You will lead reviews, prepare findings, and train physicians on documentation best practices.

Responsibilities include scheduling provider meetings, updating coding references, and pursuing certifications. Strong communication and detail orientation are essential for success in this role based in Georgia.

Qualifications

• Auditing of medical records to support coding selections.
• Knowledge of Medicare/Medicaid regulations and guidelines.
• Proficiency with CPT, ICD-10-CM, and HCPCS coding systems.
• Ability to present audit findings to physicians and staff clearly.
• Commitment to ongoing education and certifications.

Responsibilities

• Performs audits independently to review documentation adequacy.
• Creates and communicates clear audit findings with references.
• Performs research related to compliance and coding issues.
• Schedules meetings with providers and staff.
• Ensures compliance with coding guidelines.
• Assists in creating and updating coding reference materials.
• Participates in education activities to stay compliant.
• Communicates trends to management and tracks time spent on tasks.

Skills

Auditing experience

Coding compliance

Medical terminology

CMS Medicare regs

Documentation review

Public speaking

Time management

Communication skills

Attention to detail

Microsoft Office

Education

Certified Professional Coder (CPC)

Coding Specialist Certification

CPMA (Certified Professional Medical Auditor)

Job description

Wellstar is seeking an experienced Coding Compliance Auditor to independently audit professional fee coding under Medicare and Medicaid rules. You will lead reviews, prepare findings, and train physicians on documentation best practices.

Responsibilities include scheduling provider meetings, updating coding references, and pursuing certifications. Strong communication and detail orientation are essential for success in this role based in Georgia.