Remote Coding Compliance Auditor – Healthcare

Gebbs Healthcare Solutions Inc; United States; Remote; USD 43,000 - 58,000; Full time

Benefits offered by this job

401(k) with Company Match

Paid Time Off & Paid Holidays

Flexible Spending Accounts (FSA)

Fully Remote Work Environment

Job summary

GeBBS Healthcare Solutions is seeking a seasoned Coding Compliance Auditor to assess inpatient and outpatient records, verify ICD-10-CM/PCS, CPT and HCPCS coding, and identify compliance risks. You will educate coders and collaborate with cross-functional teams to improve documentation quality in a remote environment.

The role requires 4+ years in acute care coding, active credentials, and strong understanding of Medicare methodologies.

Qualifications

• 4+ years of acute care inpatient & outpatient coding experience, including auditing.
• Expertise with ICD-10-CM, ICD-10-PCS, CPT, HCPCS coding systems.
• One or more active credentials such as CCS, RHIA, RHIT, CPC, or CIC.
• Strong understanding of Medicare reimbursement methodologies (MS-DRGs, IPPS, OPPS).
• Experience interpreting clinical documentation to improve coding accuracy and compliance.
• Exceptional analytical, communication, and written reporting skills.
• Ability to provide constructive feedback and education to coders.
• Comfortable working independently while collaborating with cross-functional teams in a remote environment.
• Proficiency with EHR Epic

Responsibilities

• Perform comprehensive audits of inpatient and outpatient medical records 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.

Skills

Auditing

ICD-10-CM/PCS

CPT/HCPCS coding

Regulatory knowledge

Analytical skills

Remote collaboration

Education

Bachelor's in Health Information Management

Tools

Epic EHR

Job description

GeBBS Healthcare Solutions is seeking a seasoned Coding Compliance Auditor to assess inpatient and outpatient records, verify ICD-10-CM/PCS, CPT and HCPCS coding, and identify compliance risks. You will educate coders and collaborate with cross-functional teams to improve documentation quality in a remote environment.

The role requires 4+ years in acute care coding, active credentials, and strong understanding of Medicare methodologies.