Senior Coding Compliance Auditor & Educator

Wellstar Health System; Athens (GA); On-site; USD 90,000 - 120,000; Full time

Job summary

Wellstar Health System in Georgia seeks a seasoned Coding Compliance Auditor to perform independent audits of professional fee coding, ensuring accuracy per CPT, ICD-10-CM, and HCPCS guidelines. You will prepare findings, train physicians, and address coding inquiries from providers and staff.

The role requires 5+ years in auditing or coding compliance within physician practices, CPC/CCS credentials, and strong communication skills to present complex topics clearly.

Qualifications

• Associate's Degree required; Bachelor's in healthcare field preferred.
• Minimum 5 years auditing or coding compliance experience in a physician practice.
• Cert Prof Coder (CPC) 1.00 required; Coding Specialist 1.00 required.

Responsibilities

• Independently conduct reviews/audits on documentation to support codes.
• Create and communicate audit findings with physicians and staff.
• Research compliance and coding issues.
• Schedule meetings with providers.
• Ensure compliance with coding guidelines.
• Assist in updating coding reference materials and trainings.
• Pursue ongoing education to stay current with laws, rules and regulations.

Skills

Attention to detail

Coding accuracy

Public speaking

Written communication

Time management

Microsoft Office

Confidentiality

Independent work

Problem solving

Healthcare compliance

Education

Associate's degree

Bachelor's degree in healthcare

Tools

Microsoft Word

Excel

PowerPoint

Outlook

Job description

Wellstar Health System in Georgia seeks a seasoned Coding Compliance Auditor to perform independent audits of professional fee coding, ensuring accuracy per CPT, ICD-10-CM, and HCPCS guidelines. You will prepare findings, train physicians, and address coding inquiries from providers and staff.

The role requires 5+ years in auditing or coding compliance within physician practices, CPC/CCS credentials, and strong communication skills to present complex topics clearly.