Coding Compliance Auditor

🔥 6 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

GeBBS Healthcare Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2005

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

GeBBS Healthcare Solutions is a technology-enabled healthcare services company that provides end-to-end Revenue Cycle Management (RCM) and health information management (HIM) services to providers and payers. GeBBS combines proprietary software platforms (e. g. , iCareONE, iCodeONE, iCode Risk Adjustment) with automation, Agentic AI / AI-NLP, robotic process automation, data analytics, coding and compliance services to improve patient access, coding, billing, denials management, accounts receivable, and payer risk adjustment. The company positions itself as a B2B partner and outsourcing provider to hospitals, health systems, DME/HME providers, and payers, emphasizing scalable execution, compliance governance, and improved financial outcomes for healthcare organizations.

📋 Description

• Perform comprehensive audits of inpatient and outpatient medical records to validate accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code assignment. • Ensure coding practices align with CMS, OIG, AHIMA, AAPC, payer, and client-specific regulatory requirements. • Identify documentation and coding trends, compliance risks, and reimbursement opportunities through detailed analysis. • Develop clear, actionable audit reports outlining findings, recommendations, and opportunities for process improvement. • Collaborate with coding leaders and operational teams to resolve coding discrepancies and strengthen documentation quality. • Deliver individualized and group education to coders and clinical staff based on audit findings and evolving regulatory guidance. • Monitor coding quality metrics and recommend strategies that improve coding accuracy, compliance, and overall performance. • Stay current on coding updates, reimbursement methodologies, and healthcare regulations to ensure best practices are consistently applied.

🎯 Requirements

• 4+ years of acute care inpatient & outpatient coding experience, including coding quality or compliance auditing. • Demonstrated expertise with ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems. • One or more active credentials such as CCS, RHIA, RHIT, CPC, or CIC. • Strong understanding of Medicare reimbursement methodologies, including MS-DRGs, IPPS, OPPS, and applicable federal coding guidelines. • Experience interpreting clinical documentation and identifying opportunities to improve coding accuracy and compliance. • Exceptional analytical, communication, and written reporting skills. • Ability to provide constructive feedback and education that supports coder development. • Comfortable working independently while collaborating with cross-functional healthcare teams in a remote environment. • Proficiency with EHR Epic

🏖️ Benefits

• Medical, Dental & Vision Insurance • 401(k) with Company Match • Paid Time Off & Paid Holidays • Flexible Spending Accounts (FSA) • Opportunities for Professional Growth & Career Development • Fully Remote Work Environment • Supportive, Collaborative Team Culture