Remote ED Audit & QA Specialist — ProFee E/M Expert

GeBBS Healthcare Solutions, Inc.

United States

Remote

USD 70,000 - 110,000

Full time

4 days ago
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Job summary

GeBBS Healthcare Solutions is seeking an experienced Professional Fee Emergency Department Coding Auditor / QA Specialist to join our remote team. This role focuses on comprehensive audits of professional ED coding with emphasis on E/M leveling, procedure coding, documentation accuracy, and regulatory compliance.

The ideal candidate will have a proven background in ProFee ED auditing, strong attention to detail, and the ability to identify coding discrepancies, provide actionable feedback, and

Qualifications

  • Minimum of 3 years of professional coding auditing experience, specifically ProFee ED services.
  • Active CEMC and/or CPC certification required.
  • Expertise in Professional Fee ED E/M leveling and procedure coding is required.
  • Strong understanding of ED documentation, medical necessity, modifier usage, and code assignment.
  • Knowledge of ICD-10-CM, CPT, HCPCS and payer guidelines.
  • Must reside in the United States and be available to work Monday–Friday.

Responsibilities

  • Audit Professional Fee ED encounters for accurate E/M leveling and coding.
  • Perform onboarding coding reviews and quality assessments per client standards.
  • Review documentation for ICD-10-CM, CPT, HCPCS compliance.
  • Identify discrepancies, missed charges, and improvement opportunities.
  • Prepare audit reports with findings and corrective action recommendations.
  • Collaborate with coding teams and clients to communicate results and support QA initiatives.
  • Assist with coder education and documentation guidelines.

Skills

Professional coding auditing
ED E/M leveling
Attention to detail
Communication skills

Education

CEMC or CPC certification

Job description

GeBBS Healthcare Solutions is seeking an experienced Professional Fee Emergency Department Coding Auditor / QA Specialist to join our remote team. This role focuses on comprehensive audits of professional ED coding with emphasis on E/M leveling, procedure coding, documentation accuracy, and regulatory compliance.

The ideal candidate will have a proven background in ProFee ED auditing, strong attention to detail, and the ability to identify coding discrepancies, provide actionable feedback, and

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