Professional Coding Auditor at Corewell Health Urgent Care in Newnan, GA

Job description

• WellStreet Urgent Care is redefining the urgent care experience through patient-focused service, high-quality care, and strong partnerships with health systems. As a rapidly growing healthcare organization, we are building a national network of urgent care facilities and creating opportunities for talented professionals to make a meaningful impact.
• If you’re an experienced medical coder who enjoys digging into documentation, identifying coding opportunities, and helping providers and coding teams improve accuracy, this could be a great opportunity to join our team.
• The Professional Coding Auditor reviews clinical documentation and coding to ensure accuracy, completeness, compliance, appropriate charge capture, and alignment between documentation and assigned CPT and ICD-10 codes.
• This role goes beyond identifying errors—you’ll help educate providers and coders, identify trends, and partner with leadership to improve coding quality and reimbursement.

Responsibilities

• Perform coding audits of provider documentation and assigned CPT and 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.

Requirements

• Active CPC or CCS coding certification through AAPC or AHIMA.
• Relevant professional coding and/or coding auditing experience
• 2+ years of medical billing experience.
• Urgent Care or Occupational Health billing experience.
• Experience working with insurance payers, A/R, revenue cycle processes, and denied claims.
• Experience with billing software and electronic medical records.
• Epic experience is a plus.
• High school diploma or equivalent.
• Strong understanding of medical coding and documentation requirements.
• Excellent critical-thinking and analytical skills.
• Ability to distinguish between a coding error and a documentation deficiency.
• Strong attention to detail and commitment to accuracy.
• Ability to communicate audit findings clearly and constructively.
• Comfortable providing corrective feedback and educating providers and coders.
• Strong organizational skills and ability to manage a high-volume workload.
• Ability to identify coding trends and develop practical solutions.
• Ability to stay current with coding changes and regulatory requirements.
• Positive, collaborative attitude and ability to work effectively in a fast-paced environment.

Skills

Required

• Medical coding and auditing
• CPT and ICD-10 coding
• Medical billing
• Critical thinking and analytical skills
• Attention to detail
• Communication skills
• Organizational skills
• Ability to manage high-volume workload
• Ability to identify coding trends

Preferred

• Epic experience