Coding Education & Compliance Auditor

Northeast Georgia Health System; Fruitville (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Northeast Georgia Health System is seeking a Coding Education & Quality Auditor (CEQA) to perform coding and documentation audits across NGPG/NGHS. You will ensure the accuracy of ICD-9/ICD-10/CPT/HCPCS coding, determine medical necessity, and report findings to physicians and leadership.

You will educate providers and propose corrective actions to improve documentation and billing quality. The role requires strong knowledge of coding standards, regulatory requirements, and the ability to

Qualifications

• Proficiency in applying CPT/ICD-10-CM guidelines.
• Ability to identify errors and compliance risks in medical records.
• Experience educating providers and presenting to large audiences.

Responsibilities

• Coordinate professional services documentation and coding audits for outpatient records.
• Review clinical documentation for completeness and data integrity.
• Audit provider coding using ICD-10, CPT, HCPCS, and CMS guidelines.

Skills

Coding guidelines

Audit findings communication

Education providers

Presentations to large audiences

Detail-oriented

Education

CPC/CCS-P Certification

CPMA/CEMC auditing certification

High School Diploma

Tools

Excel

PowerPoint

Job description

Northeast Georgia Health System is seeking a Coding Education & Quality Auditor (CEQA) to perform coding and documentation audits across NGPG/NGHS. You will ensure the accuracy of ICD-9/ICD-10/CPT/HCPCS coding, determine medical necessity, and report findings to physicians and leadership.

You will educate providers and propose corrective actions to improve documentation and billing quality. The role requires strong knowledge of coding standards, regulatory requirements, and the ability to