Medical Coding Quality Auditor & Education Specialist

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

Job summary

Northeast Georgia Health System is seeking a Coding Education & Quality Auditor to conduct coding, billing, and documentation audits for NGPG/NGHS providers, ensuring accuracy of ICD-9/ICD-10/CPT/HCPCS and other payer codes, and verifying medical necessity and compliance. The role includes communicating audit results to physicians and leadership, educating providers, and recommending corrective actions.

Requires CPC/CCS-P and CPMA/CEMC certifications, a high school diploma, and at least three

Qualifications

• Apply coding guidelines to complex, multi-specialty documentation.
• Identify errors, discrepancies, and compliance risks within medical records.
• Translate audit findings into clear, actionable feedback and process improvements.
• 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.
• 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.

Skills

Coding audits

Provider education

Communication

Data analysis

Education

CPC/CCS-P

CPMA

CEMC

High School Diploma

Tools

Excel

PowerPoint

MS Office

Job description

Northeast Georgia Health System is seeking a Coding Education & Quality Auditor to conduct coding, billing, and documentation audits for NGPG/NGHS providers, ensuring accuracy of ICD-9/ICD-10/CPT/HCPCS and other payer codes, and verifying medical necessity and compliance. The role includes communicating audit results to physicians and leadership, educating providers, and recommending corrective actions.

Requires CPC/CCS-P and CPMA/CEMC certifications, a high school diploma, and at least three