Professional Coding Auditor & Educator

WellStreet Urgent Care; Atlanta (GA); On-site; USD 70,000 - 95,000; Full time

Job summary

WellStreet Urgent Care is seeking a Professional Coding Auditor & Educator to collaborate with physicians and coding staff to ensure accurate clinical documentation and compliant reimbursement for services.

The role requires auditing and education across CMS and payer policies, with a focus on high-volume, fast-paced environments and team collaboration.

Qualifications

• Must audit clinical documentation for accurate charge capture and compliance.
• Experience educating physicians on documentation and coding requirements.
• Proficiency with coding resources and payer policies to support audit decisions.

Responsibilities

• Review and analyze department documentation for accurate charge capture and submission.
• Educate departments on CMS, state, and payer regulations relevant to charges.
• Collaborate with Coding Supervisor to ensure consistent documentation in high-risk areas.
• Identify inconsistencies in medical reports and improve charge capture.
• Meet daily production standards and audit providers on CPT and ICD-10 codes.

Skills

Auditing experience

Billing experience

Educating physicians

Payer regulations

Attention to detail

Education

High School diploma or equivalent

CPC or CCS Certification

Tools

Epic experience

Billing software

Job description

The Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services.

Responsibilities

• Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission
• Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges
• Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete
• Identifies inconsistencies in medical reports and works with healthcare staff to improve charge capture and error correction
• Meets daily production standards
• Audits providers on documentation and assigning accurate CPT and ICD-10 codes

Minimum Qualifications

• High School diploma or equivalent
• Active CPC or CCS Certification from AAPC or AHIMA required
• 3+ years of hands‑on auditing experience (not just coding) required
• Professional billing experience in an urgent care or multi‑specialty environment required
• Direct experience educating physicians/providers on documentation and coding requirements required
• Experience using coding resources/tools (e.g., AMA guidelines, payer policies, online resources) to support audit decisions required
• Energy, enthusiasm, and the ability to work under pressure in a high volume, fast paced environment with high growth

Key Attributes That Will Promote Success In This Role

• Knowledge of insurance payers, the AR/revenue billing lifecycle and appealing denied claims
• Strong Critical thinking
• Experience in billing software and EMR systems, Epic experience a plus
• Extremely organized with a strong attention to detail
• Motivated, dependable, and flexible with the ability to handle periods of stress and pressure
• Stay up to date on coding changes and updates
• Ability to work within a team environment and maintain a positive attitude

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