Senior Medical Coding Auditor & Educator

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, completeness, compliance, appropriate charge capture, and alignment between documentation and CPT/ ICD-10 codes.

This role goes beyond identifying errors—you'll educate providers and coders, identify trends, and partner with leadership to improve coding quality and reimbursement across our national network.

Qualifications

• Active CPC or CCS certification through AAPC or AHIMA.
• 2+ years of medical billing experience.
• Urgent Care or Occupational Health billing experience.
• Experience with insurance payers, AR, revenue cycle processes, and denied claims.
• Experience with billing software and electronic medical records.
• Epic experience is a plus.
• High school diploma or equivalent.

Responsibilities

• Perform coding audits of provider documentation and CPT/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

Medical coding expertise

Auditing experience

Attention to detail

Critical thinking

Education

CPC or CCS certification

High school diploma or equivalent

Tools

Epic EMR

Job description

WellStreet Urgent Care is seeking a Professional Coding Auditor to review clinical documentation and coding for accuracy, completeness, compliance, appropriate charge capture, and alignment between documentation and CPT/ ICD-10 codes.

This role goes beyond identifying errors—you'll educate providers and coders, identify trends, and partner with leadership to improve coding quality and reimbursement across our national network.