Facility Inpatient Coding Audit Lead

🔥 2 hours ago

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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 facility coding with emphasis on MS-DRGs, ICD-10-CM/PCS, POA indicators, discharge disposition, and quality measures. • Validate clinical documentation to ensure accurate code assignment and regulatory compliance. • Identify coding trends, reimbursement opportunities, and compliance risks. • Provide meaningful education and feedback to coding professionals based on audit findings. • Maintain audit quality and production expectations while supporting continuous process improvement. • Create and assign daily audit batches while balancing team workloads. • Monitor audit production and ensure established turnaround times and quality expectations are consistently met. • Serve as the primary escalation point for audit-related questions and operational issues. • Train and onboard new auditors while providing ongoing mentorship and coaching. • Conduct biannual Auditor Technical Assessments (ATA) and support performance evaluations. • Prepare audit reports, productivity metrics, and quality dashboards for leadership. • Partner with operational leadership to identify workflow improvements and implement best practices. • Foster collaboration across remote and global audit teams while promoting coding excellence.

🎯 Requirements

• RHIA, RHIT, or CCS certification • Minimum 3 years of inpatient facility coding auditing experience • Previous experience leading, mentoring, or serving as a senior resource for coding auditors strongly preferred. • Outpatient facility auditing experience preferred. • Experience supporting remote and/or offshore coding teams is a plus. • Expected production: 2 charts per hour (CPH) while performing audit responsibilities. • Must be authorized to work in the United States.

🏖️ Benefits

• Fully Remote Work Environment • Medical, Dental & Vision Insurance • 401(k) with Company Match • Paid Time Off & Paid Holidays • Company-Provided Equipment • Ongoing Professional Development & Growth Opportunities • Collaborative, Quality-Focused Team Culture