Professional Coding Auditor & Educator

DaMar Staffing; Atlanta (GA); On-site; USD 70,000 - 95,000; Full time

Job summary

DaMar Staffing seeks a Professional Coding Auditor & Educator to collaborate with physicians and coding staff to ensure accurate clinical documentation for proper reimbursement and quality reporting. The role includes auditing, educating on regulations, and improving charge capture across departments.

The ideal candidate holds CPC/CCS certification with 3+ years of hands-on auditing experience and strong knowledge of CPT/ICD-10 coding and payer policies.

Qualifications

• CPC or CCS certification required (AAPC/AHIMA).
• 3+ years hands-on auditing experience required (not just coding).
• Billing experience in urgent care or multi-specialty settings required.
• Direct experience educating physicians/providers on documentation and coding requirements.
• Experience using coding resources/tools (AMA guidelines, payer policies, online resources) to support audit decisions.

Responsibilities

• Review and analyze department clinical documentation to ensure accurate charge capture and submission.
• Educate departments on CMS, state, and payer regulations related to charges.
• Collaborate with Coding Supervisor to ensure high-risk documentation is consistent and complete.
• Identify inconsistencies in medical reports and work with healthcare staff to improve charge capture and error correction.
• Meet daily production standards.
• Audit providers on documentation and assigning accurate CPT and ICD-10 codes.

Skills

Payer knowledge

Critical thinking

Billing software

EMR systems

Attention to detail

Education

High School diploma or equivalent

CPC or CCS Certification

Tools

Epic

Job description

Professional Coding Auditor & Educator

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 submissionWorks 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 chargesCollaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and completeIdentifies inconsistencies in medical reports and works with healthcare staff to improve charge capture and error correctionMeets daily production standardsAudits providers on documentation and assigning accurate CPT and ICD-10 codes

Minimum Qualifications:

High School diploma or equivalentActive CPC or CCS Certification from AAPC or AHIMA required3+ years of hands‑on auditing experience (not just coding) requiredProfessional billing experience in an urgent care or multi‑specialty environment requiredDirect experience educating physicians/providers on documentation and coding requirements requiredExperience using coding resources/tools (e.g., AMA guidelines, payer policies, online resources) to support audit decisions requiredEnergy, 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 claimsStrong critical thinkingExperience in billing software and EMR systems, Epic experience a plusExtremely organized with a strong attention to detailMotivated, dependable, and flexible with the ability to handle periods of stress and pressureStay up to date on coding changes and updatesAbility to work within a team environment and maintain a positive attitude