Senior Coding Compliance Auditor & Educator

Wellstar Health System; Georgia; On-site; USD 95,000 - 120,000; Full time

Job summary

Wellstar Health System in Georgia is seeking a Coding Compliance Auditor to conduct independent audits of professional fee coding and ensure accuracy per CPT, ICD-10-CM, and HCPCS guidelines. The role includes preparing reports, presenting findings, and training providers on documentation and coding best practices.

Under the Coding Compliance Manager, you will review medical records, stay current with Medicare/Medicaid rules, and help improve documentation quality across settings.

Qualifications

• Experience auditing or coding compliance in healthcare.
• Ability to review medical records to support codes.
• Strong knowledge of Medicare/Medicaid regulations.

Responsibilities

• Performs audits of medical record documentation to support codes.
• Communicates audit findings clearly to physicians and staff.
• Researches coding compliance issues and regulatory references.
• Schedules meetings with providers to review findings and improvements.

Skills

Auditing

Medical coding

Regulatory compliance

Documentation review

Provider training

Education

Associate's degree

Bachelor's degree in healthcare

Tools

CPT

ICD-10-CM

HCPCS

Job description

Wellstar Health System in Georgia is seeking a Coding Compliance Auditor to conduct independent audits of professional fee coding and ensure accuracy per CPT, ICD-10-CM, and HCPCS guidelines. The role includes preparing reports, presenting findings, and training providers on documentation and coding best practices.

Under the Coding Compliance Manager, you will review medical records, stay current with Medicare/Medicaid rules, and help improve documentation quality across settings.