Medical Coding Auditor — Elevate Documentation & Compliance

University Hospitals Urgent Care by WellStreet; Newnan (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

WellStreet Urgent Care is seeking a Professional Coding Auditor to ensure accuracy in documentation and CPT/ICD-10 coding across our expanding urgent care network. You will audit provider documentation, evaluate support for diagnoses and procedures, identify coding errors, and provide constructive feedback while educating providers and coders.

Collaborate with leadership to drive improvements in documentation quality, charge capture, and reimbursement, staying current with CMS/state regulations

Qualifications

• Active CPC or CCS certification through AAPC or AHIMA.
• Relevant coding and/or coding auditing experience.
• 2+ years of medical billing experience.
• Urgent Care or Occupational Health billing experience.
• Experience with insurance payers, AR, 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 CPT/ICD-10 codes.
• Evaluate whether clinical documentation supports diagnoses and procedures billed.
• Identify coding errors, documentation deficiencies, charge-capture issues, and opportunities for improvement.
• Review coding deliverables from providers and coders.
• Provide constructive feedback to providers and coders.
• Deliver education related to coding requirements and regulatory updates.
• Stay current on CMS, state, and payer coding regulations and requirements.
• Collaborate with 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 and recommend corrective actions.
• Support error correction and process improvement initiatives.

Skills

Active CPC or CCS coding certification

Coding auditing experience

Medical billing experience

Insurance payers & AR knowledge

Billing software & EMR

Epic experience

High school diploma

Education

High school diploma or equivalent

Tools

Epic

Job description

WellStreet Urgent Care is seeking a Professional Coding Auditor to ensure accuracy in documentation and CPT/ICD-10 coding across our expanding urgent care network. You will audit provider documentation, evaluate support for diagnoses and procedures, identify coding errors, and provide constructive feedback while educating providers and coders.

Collaborate with leadership to drive improvements in documentation quality, charge capture, and reimbursement, staying current with CMS/state regulations