Coding Auditor - 3147 S 17th St - Full Time

Wilmington Health PLLC • Wilmington, NC

39d • Onsite

About The Position

Wilmington Health, established in 1971, is a multi-specialty medical practice dedicated to the health of Southeastern North Carolina. They focus on providing comprehensive and coordinated patient care through integrated primary care providers and collaborative, evidence-based medicine. The Internal Auditor role is crucial for ensuring coding accuracy and compliance with CPT, ICD-CM, and CMS guidelines by conducting regular medical record and coding compliance audits. This position also involves collaborating with providers, managers, and directors to identify areas for documentation and coding improvement and to provide educational opportunities.

Requirements

• Strong knowledge of CPT and ICD-10-CM guidelines.
• Experience working within a multispecialty medical practice
• The ability to understand documentation and coding requirements across specialties.
• Excellent verbal and written communication skills
• The ability to work independently and manage multiple audits
• CPC or CCS-P Coding Certification
• Experience with physician professional-fee auditing

Nice To Haves

• Additional certifications CPMA, CRC, or other relevant coding/auditing certification

Responsibilities

• Perform coding audits for E/M services and procedures across multiple specialties by ensuring services billed are supported.
• Apply current CPT, ICD-10-CM, CMS and payer coding guidelines to audit findings.
• Identify coding discrepancies, documentation gaps, compliance risks, and opportunities for improvement.
• Provide one-on-one and group education to providers regarding coding and documentation best practices.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed