Professional Coding Auditor

United States·Newnanmid

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Quick Summary

Overview

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.

Technical Tools

OtherAuditor

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

~1 min read

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

~1 min read

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Perform coding audits of provider documentation and assigned CPT and ICD-10 codes.
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Evaluate whether clinical documentation supports the diagnoses and procedures billed.
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Identify coding errors, documentation deficiencies, charge-capture issues, and opportunities for improvement.
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Review coding deliverables from professional coders, physicians, and other healthcare professionals.
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Provide constructive, educational feedback to providers and coders.
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Deliver education related to coding requirements, documentation standards, and regulatory updates.
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Stay current on CMS, state, and payer coding regulations and requirements.
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Collaborate with the Coding Supervisor and Regional Medical Directors to improve documentation and coding accuracy.
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Perform charge entry and Charge Review activities as needed.
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Identify trends such as undercoding or other recurring coding issues and recommend corrective actions.
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Support error correction and process improvement initiatives.Meet established daily production and quality standards.