Professional Coding Auditor

### **Professional Coding Auditor** 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. #### **About the Role** 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. #### **What You’ll Do** * 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. #### **Required Qualifications** * **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. #### **What Will Make You Successful** * 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. #### **Why Join WellStreet?** At WellStreet, we believe healthcare professionals should have the opportunity to do meaningful work while being part of a supportive, growing organization. We value people who bring energy, accountability, collaboration, and a genuine commitment to improving the patient experience. If you’re a certified coding professional who enjoys auditing, problem-solving, and helping others improve, **we’d love to hear from you!** ### #INDMISC Originally posted on [Himalayas](https://himalayas.app)