Professional Coding Auditor

DaMar Staffing; United States; 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 and compliance across CPT and ICD-10. The role educates providers, identifies trends, and partners with leadership to enhance coding quality and reimbursement.

The ideal candidate has active CPC or CCS credentials, 2+ years in medical billing, and experience with billing software and EMR systems, with Epic experience a plus. Join a growing network focused on high-quality care.

Qualifications

• Active CPC or CCS certification through AAPC or AHIMA.
• 2+ years of medical billing and coding auditing experience.
• Experience with billing software and electronic medical records (EMR).
• Urgent Care or Occupational Health billing experience.
• 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

CPC or CCS certification

Medical coding/auditing

Medical billing

Urgent Care billing

Billing software

Electronic Medical Records

Epic experience

Education

High school diploma or equivalent

Tools

Epic

Job description

Professional Coding Auditor

WellStreet Urgent Care is redefining the urgent care experience through patient-focused service, high-quality care, and strong partnerships with health systems. As a rapidly growing healthcare organization, we are building a national network of urgent care facilities and creating opportunities for talented professionals to make a meaningful impact.

If you're an experienced medical coder who enjoys digging into documentation, identifying coding opportunities, and helping providers and coding teams improve accuracy, this could be a great opportunity to join our team.

The Professional Coding Auditor reviews clinical documentation and coding to ensure accuracy, completeness, compliance, appropriate charge capture, and alignment between documentation and assigned CPT and ICD-10 codes. This role goes beyond identifying errors—you'll help educate providers and coders, identify trends, and partner with leadership to improve coding quality and reimbursement.

• 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.

• 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 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.

• Strong understanding of medical coding and documentation requirements.
• Excellent critical-thinking and analytical skills.
• Ability to distinguish between a coding error and a documentation deficiency.
• Strong attention to detail and commitment to accuracy.
• Ability to communicate audit findings clearly and constructively.
• Comfortable providing corrective feedback and educating providers and coders.
• Strong organizational skills and ability to manage a high-volume workload.
• Ability to identify coding trends and develop practical solutions.
• Ability to stay current with coding changes and regulatory requirements.
• Positive, collaborative attitude and ability to work effectively in a fast-paced environment.

At WellStreet, we believe healthcare professionals should have the opportunity to do meaningful work while being part of a supportive, growing organization. We value people who bring energy, accountability, collaboration, and a genuine commitment to improving the patient experience.

If you're a certified coding professional who enjoys auditing, problem-solving, and helping others improve, we'd love to hear from you!

#INDMISC

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.