Facility Inpatient Coding Auditor

🔥 14 minutes 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

• Conduct comprehensive audits of inpatient facility coding, including MS-DRGs, ICD-10-CM/PCS, POA indicators, discharge disposition, query opportunities, and quality-related data elements • Ensure compliance with official coding guidelines, CMS regulations, payer requirements, and internal policies • Identify coding errors, trends, and root causes impacting reimbursement, quality metrics, and compliance risk • Validate documentation supports coded diagnoses and procedures

🎯 Requirements

• Active coding credential: RHIA, RHIT, CCS (required) • Minimum 3 years of inpatient facility auditing experience • Expert knowledge of ICD-10-CM/PCS, MS-DRGs, POA indicators, and UHDDS • Strong understanding of CMS regulations, OIG guidance, and compliance standards • Experience working with or supporting global or remote coding teams • Expected Production of 2 CPH

🏖️ Benefits

• Health insurance • Dental coverage • Vision coverage • Paid time off • Equipment provided