Primary Care Validation Coder

GeBBS Healthcare Solutions, Inc.; East Haven (CT); On-site; USD 34,000 - 55,000; Full time

Job summary

GeBBS Healthcare Solutions, Inc. is seeking a detail-oriented Validation Coder for remote, full-time or part-time work.

The role focuses on validating ICD-10-CM, CPT, HCPCS, and modifier coding for Primary Care and other outpatient services, ensuring accuracy and compliance with client guidelines. The ideal candidate holds a CPC credential and has 3+ years of professional fee coding experience, with a preference for 2+ years in validation or QA.

Qualifications

• Current CPC credential through AAPC or AHIMA required.
• Minimum 3 years of professional fee coding experience.
• Minimum 2 years in coding validation, auditing, or QA preferred.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, modifier usage, and CMS/AAPC guidelines.
• Experience reviewing E/M services and preventive visits.

Responsibilities

• Perform validation of AI coded E/M and diagnoses for Primary Care.
• Review and verify ICD-10-CM, CPT, HCPCS, and modifier assignments.
• Identify coding errors, documentation gaps, and compliance concerns.
• Provide detailed feedback and rationale for coding corrections when necessary.
• Maintain client-specific productivity and accuracy standards.
• Collaborate with coding and quality teams to support coding excellence.

Skills

ICD-10-CM knowledge

CPT/HCPCS knowledge

CMS/AAPC guidelines

E/M coding

Remote work independence

Education

CPC (AAPC)

CCS (AHIMA)

CEMC (AHIMA)

CCA (AAPC)

Tools

EPIC

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.

GeBBS Healthcare Solutions is seeking a detail-oriented, Full and part-time , remote Primary Care Validation Coder to support coding quality and compliance initiatives. In this role, you will perform secondary reviews of coded medical records to ensure accurate assignment of ICD-10-CM, CPT, HCPCS, and modifier coding in accordance with client guidelines, regulatory requirements, and industry best practices. The ideal candidate has strong coding expertise, exceptional analytical skills, and a commitment to maintaining coding accuracy and quality standards. This is a flexible, remote opportunity requiring availability to work during regular business hours Monday through Friday.

Responsibilities

This position will provide high-quality coding validation and quality assurance services. The Validation Coder will be responsible for reviewing completed coding assignments, identifying coding discrepancies, and ensuring compliance with applicable coding guidelines and documentation requirements.

• Perform validation of AI coded E/M and diagnoses for Primary Care
• Review and verify ICD-10-CM, CPT, HCPCS, and modifier assignments
• Identify coding errors, documentation gaps, and compliance concerns
• Provide detailed feedback and rationale for coding corrections when necessary
• Maintain client-specific productivity and accuracy standards
• Work collaboratively with coding and quality teams to support coding excellence

Work Type: Professional Fee (ProFee) Coding Validation
Commitment: Full or Part-Time (min 20 hr/wk), regular business hours, Monday through Friday
Specialties: Primary Care, Family Medicine, and other outpatient professional fee services as assigned

Productivity Expectations: Minimum 12-15 charts per hour

Requirements

• Current CPC, CEMC,CCA, CCS, or equivalent credential through AAPC or AHIMA required
• Minimum of 3 years of professional fee coding experience
• Minimum of 2 years of coding validation, auditing, or quality assurance experience preferred
• Strong knowledge of ICD-10-CM, CPT, HCPCS, modifier usage, and CMS/AAPC coding guidelines
• Experience reviewing E/M services, preventive visits, annual wellness visits, and office procedures
• Ability to identify documentation deficiencies and coding opportunities
• Experience with EPIC and other EMR platforms preferred
• Excellent attention to detail with a demonstrated accuracy rate of 95% or higher
• Strong written communication skills and ability to provide clear coding rationale
• Ability to work independently in a remote environment

Preferred Qualifications

• Previous coding audit, compliance, or quality assurance experience
• Experience supporting multiple provider specialties and client environments
• Familiarity with payer-specific coding and reimbursement guidelines

Join GeBBS Healthcare Solutions and help drive coding quality, accuracy, and compliance through expert validation and review services.