Coding Compliance Auditor

GeBBS Healthcare Solutions, Inc.; United States; Remote; USD 75,000 - 110,000; Full time

Benefits offered by this job

401(k) with Company Match

Paid Time Off & Paid Holidays

Flexible Spending Accounts (FSA)

Opportunities for Professional Growth

Fully Remote Work Environment

Job summary

GeBBS Healthcare Solutions, Inc. is seeking a Coding Compliance Auditor for a full-time remote position. You will audit inpatient and outpatient records to ensure accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding while complying with CMS, OIG, AHIMA, AAPC, and client requirements.

The role requires 4+ years of acute care coding experience and credentials such as CCS, RHIA, or RHIT. You will collaborate with coding leaders, educate staff, and drive quality and compliance across a remote team.

Qualifications

• 4+ years of acute care inpatient & outpatient coding experience.
• Experience with ICD-10-CM, ICD-10-PCS, CPT, HCPCS coding systems.
• Active credentials such as CCS, RHIA, or RHIT.
• Strong understanding of Medicare reimbursement methodologies and federal coding guidelines.
• Ability to interpret clinical documentation and identify improvement opportunities.
• Excellent written reporting and communication skills.
• Ability to work independently in a remote environment.

Responsibilities

• Perform comprehensive audits of inpatient and outpatient records to validate code accuracy.
• Ensure coding aligns with CMS, OIG, AHIMA, AAPC, and client regulations.
• Identify documentation and coding trends, compliance risks, and reimbursement opportunities.
• Develop clear audit reports with findings and recommendations for process improvement.
• Collaborate with coding leaders and operations to resolve discrepancies and strengthen documentation.
• Deliver education to coders and clinical staff based on audit findings.
• Monitor coding quality metrics and suggest improvement strategies.
• Stay current on coding updates and reimbursement methodologies.

Skills

Acute care coding

Regulatory auditing

Analytical skills

Written reporting

Independent remote collaboration

Education

Bachelor's degree in Health Information Management

Tools

Epic EHR

Job description

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance.

At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare.

Coding Compliance Auditor

Full-Time | Remote

Are you passionate about coding integrity, regulatory excellence, and helping healthcare organizations maintain the highest standards? GeBBS Healthcare Solutions is seeking an experienced Coding Compliance Auditor to join our growing team of industry experts.

What You'll Do

• Perform comprehensive audits of inpatient and outpatient medical records with iCodeOne 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.

What You Bring

• 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, 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.
• 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.

Preferred Qualifications

• Bachelor's degree in Health Information Management, Healthcare Administration, or a related discipline (or equivalent experience).

Why GeBBS?

At GeBBS, we're passionate about helping healthcare organizations improve financial performance through innovation, quality, and exceptional client service. When you join our team, you'll work alongside industry-leading professionals in a collaborative, remote-first environment where your expertise is valued and your career can continue to grow.

We offer a comprehensive benefits package, including:

• 401(k) with Company Match
• Paid Time Off & Paid Holidays
• Flexible Spending Accounts (FSA)
• Opportunities for Professional Growth & Career Development
• Fully Remote Work Environment

Ready to make an impact?