Healthcare Coding Quality Auditor & Educator

Northeast-Georgia-Health-System; Gainesville (GA); On-site; USD 70,000 - 100,000; Full time

Job summary

Northeast Georgia Health System is seeking a Coding Education & Quality Auditor (CEQA) to perform professional services documentation and coding audits for outpatient records, ensuring accuracy and data integrity.

The role requires CPC and CCS-P, with CPMA/CEMC or similar certifications within 6 months, and at least 3 years in healthcare coding/audit. Strong Excel/PowerPoint skills and the ability to educate providers are essential.

Qualifications

• Licensure or other certifications: CPC and/or CCS-P Coding Certification. CPMA, CEMC or other nationally recognized healthcare auditing certification required at hire, or required to obtain within 6 months of hire.
• Educational Requirements: High School Diploma or GED.
• Minimum Experience: Minimum of three (3) years of experience in a healthcare role involving the direct application of CPT, ICD-10-CM, and/or modifiers in coding, auditing, or documentation review.
• Specialized Skills & Proficiency: Demonstrated ability to apply coding guidelines to complex, multi-specialty documentation; identify errors, discrepancies, and compliance risks; translate audit findings into actionable feedback and process improvements.
• Additional Qualifications: Demonstrated experience educating providers and presenting to large audiences.

Responsibilities

• Coordinates and performs professional services documentation and coding audits for outpatient records (NGPG/NGHS).
• Reviews clinical documentation for completeness, accuracy, and data integrity.
• Audits provider coding using ICD-10, CPT, HCPCS, and CMS guidelines.
• Conducts daily audits for new, PRN, locum, and flagged providers until audit standards are met.
• Reviews findings with providers and recommends documentation and coding improvements.
• Trains and/orients new providers on coding and documentation expectations.
• Ensures charts meet compliance standards and organizational policies.
• Prepares and delivers audit reports by provider and practice.
• Tracks and follows up on provider improvement and compliance.
• Develops and delivers coding education, training programs, and updates.
• Supports denial management by reviewing CPT denials and implementing corrective actions.
• Serves as a coding compliance resource, supports operational needs (claims, queues, escalations).
• Maintains ongoing professional development.

Skills

Auditing

CPT/ICD-10

Healthcare coding

Education delivery

Education

High School Diploma or GED

Tools

Excel

PowerPoint

Job description

Northeast Georgia Health System is seeking a Coding Education & Quality Auditor (CEQA) to perform professional services documentation and coding audits for outpatient records, ensuring accuracy and data integrity.

The role requires CPC and CCS-P, with CPMA/CEMC or similar certifications within 6 months, and at least 3 years in healthcare coding/audit. Strong Excel/PowerPoint skills and the ability to educate providers are essential.