Coding Education Quality Auditor at Northeast Georgia Health System, Inc. in Oakwood, Georgia

Job Description:

NGHS:Opportunities starthere.



If you are an energetic individual who enjoys being part of a collaborative and talented team then a rewarding career with Northeast Georgia Health System is where you want to be!


NGHS is currently seeking a Coding Education Quality Auditor- Oakwood




Job Summary: Coding Education & Quality Auditors (CEQA) conduct coding/billing/documentation audits of all NGPG/NGHS Providers to determine organizational integrity of coding/billing for professional services, including detection and correction of documentation, coding and billing errors. Audits consist of evaluation of the adequacy and accuracy of documentation to support services billed including ICD[1]9/ICD10/CPT/HCSPCS and other third-party payer codes. CEQAs ensure the medical necessity of services, compliance with other documentation, coding and billing standards. CEQAs apply standardized audit scoring methodology to evaluate consistency of documentation and coding, and standardized audit findings methodology to report audit results. CEQAs communicate audit results to physicians, physician leadership, senior management, Compliance department and staff. CEQAs are required to provide physician and coder education and make recommendations to management for corrective action. CEQAs serve as an institutional subject matters expert and resource on interpretation and application of documentation and coding rules and regulations. CEQAs assure the quality of the coding documentation fits service and codes, and any missing labels on documentation are corrected.



Minimum Requirements:

• High school diploma or GED equivalent required.


• CPC and/or CCS-P Coding Certification required.


• CPMA, CEMC or other Nationally recognized healthcare auditing certification required at hire, or required to obtain within 6 months of hire.


• Minimum three years experience coding and/or auditing Multi-Specialty records required.


• Medical Terminology or Anatomy course required.


• Demonstrated experience in conducting education to providers and large audiences required.

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Physical Demands:

• Occasionally lifting up to 20 lbs


• Occasionally kneeling/stooping/bending


• Occasionally standing/walking


• Occasionally pushing/pulling


• Frequent intensive work, requires reading, writing, reasoning, & talking

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.




NGHS: Opportunities start here.




Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.



Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status. Apply Now