Medical Coding Auditor: Drive Quality & Education

Piedmont Urgent Care Occupational Medicine; Newnan (GA); On-site; USD 55,000 - 75,000; Full time

Job summary

WellStreet Urgent Care is seeking an experienced Professional Coding Auditor to review clinical documentation and coding, ensuring accuracy and compliance. The role focuses on alignment between documentation and CPT/ICD-10 codes, while educating providers and coders and improving reimbursement.

You will collaborate with leadership, stay current on regulations, and support process improvements in a fast-paced urgent care setting.

Qualifications

• Active CPC or CCS coding certification through AAPC or AHIMA.
• Relevant professional coding and/or coding auditing experience
• 2+ years of medical billing 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 assigned CPT and ICD-10 codes.
• Evaluate whether clinical 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.
• Support error correction and process improvement initiatives.Meet established daily production and quality standards.

Skills

Coding knowledge

Analytical thinking

Attention to detail

Communication

Education feedback

Problem solving

Organizational skills

Trend identification

Regulatory awareness

Collaborative work

Education

Active CPC or CCS certification (AAPC/AHIMA)

High school diploma or equivalent

Tools

Epic

Job description

WellStreet Urgent Care is seeking an experienced Professional Coding Auditor to review clinical documentation and coding, ensuring accuracy and compliance. The role focuses on alignment between documentation and CPT/ICD-10 codes, while educating providers and coders and improving reimbursement.

You will collaborate with leadership, stay current on regulations, and support process improvements in a fast-paced urgent care setting.