Medical Coding Auditor: Elevate Documentation & Compliance

Corewell Health Urgent Care; Newnan (GA); On-site; 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 will educate providers and coders, analyze trends, and partner with leadership to improve coding quality and reimbursement.

Responsibilities include auditing provider documentation, ensuring alignment with CPT/ICD-10, and delivering constructive feedback.

Qualifications

• Active CPC or CCS coding certification required.
• 2+ years of medical billing or coding auditing experience.
• Urgent Care or occupational health billing experience preferred.
• Experience with insurance payers, A/R, and denial management.
• Proficiency with Epic or equivalent EMR/billing systems.

Responsibilities

• Perform coding audits of provider documentation and CPT/ICD-10 codes.
• Evaluate documentation supports diagnoses and procedures billed.
• Identify coding errors and opportunities for improvement.
• Review deliverables from coders, physicians, and other professionals.
• Provide educational feedback to providers and coders.
• Deliver education on coding requirements and regulatory updates.
• Stay current with CMS/state/payer coding regulations.
• Collaborate with supervisors and regional directors to improve accuracy.
• Perform charge entry and review as needed.
• Identify coding trends and propose corrective actions.

Skills

CPC certification

Medical coding

Auditing experience

Communication

Attention to detail

Education

High school diploma or equivalent

Tools

Epic

Billing software

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 will educate providers and coders, analyze trends, and partner with leadership to improve coding quality and reimbursement.

Responsibilities include auditing provider documentation, ensuring alignment with CPT/ICD-10, and delivering constructive feedback.