Coding Compliance Auditor
Gebbs Healthcare Solutions Inc
•$36 - $36•Remote
About The Position
GeBBS Healthcare Solutions is seeking an experienced Coding Compliance Auditor to evaluate documentation accuracy, identify compliance risks, and improve coding quality across complex healthcare environments. The role performs comprehensive inpatient and outpatient medical record audits using iCodeOne, validates code assignment, analyzes trends, and supports continuous improvement through reporting, collaboration, and education. This is a full-time, remote position.
Requirements
- At least 4 years of acute care inpatient and outpatient coding experience, including coding quality or compliance auditing.
- Expertise in ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems.
- At least one active credential such as CCS, RHIA, or RHIT.
- 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.
- Strong analytical, communication, and written reporting skills.
- Ability to provide constructive feedback and education that supports coder development.
- Ability to work independently and collaborate with cross-functional healthcare teams in a remote environment.
- Proficiency with EHR Epic.
Nice To Haves
- Bachelor's degree in Health Information Management, Healthcare Administration, or a related discipline, or equivalent experience.
Responsibilities
- Audit inpatient and outpatient medical records using iCodeOne to validate 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.
- Analyze documentation and coding trends, compliance risks, and reimbursement opportunities.
- Prepare audit reports describing findings, recommendations, and process-improvement opportunities.
- Collaborate with coding leaders and operational teams to resolve coding discrepancies and strengthen documentation quality.
- Provide individualized and group education to coders and clinical staff based on audit findings and regulatory updates.
- Monitor coding quality metrics and recommend strategies to improve coding accuracy, compliance, and performance.
- Stay current on coding updates, reimbursement methodologies, and healthcare regulations.
Benefits
- Medical, dental, and vision insurance.
- 401(k) with company match.
- Paid time off and paid holidays.
- Flexible spending accounts (FSA).
- Opportunities for professional growth and career development.
- Fully remote work environment.
- Supportive, collaborative team culture.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
