Medical Coding Auditor & Educator

Piedmont Urgent Care by Wellstreet; Newnan (GA); On-site; USD 60,000 - 85,000; Full time

Job summary

WellStreet Urgent Care is seeking a Professional Coding Auditor to review documentation and coding for accuracy, completeness, and regulatory compliance. You will ensure CPT/ ICD-10 alignment with clinical notes and collaborate with the coding team to improve charge capture and reimbursement.

The role involves educating providers, identifying coding trends, and partnering with leadership to enhance coding quality, revenue cycle performance, and ongoing payer compliance in a fast-paced clinical

Qualifications

• Active CPC or CCS 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 working with insurance payers, A/R, revenue cycle processes, and denied claims.
• 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

Auditing skills

Analytical thinking

Attention to detail

Communication skills

Education

CPC/CCS certification

High school diploma or equivalent

Tools

Epic

Billing software

EMR systems

Job description

WellStreet Urgent Care is seeking a Professional Coding Auditor to review documentation and coding for accuracy, completeness, and regulatory compliance. You will ensure CPT/ ICD-10 alignment with clinical notes and collaborate with the coding team to improve charge capture and reimbursement.

The role involves educating providers, identifying coding trends, and partnering with leadership to enhance coding quality, revenue cycle performance, and ongoing payer compliance in a fast-paced clinical