Remote Inpatient Coding Compliance Auditor

GeBBS Healthcare Solutions, Inc.; United States; Remote; USD 41,000 - 58,000; Part time

Benefits offered by this job

Supplied Equipment

Sick Time

Opportunities for Professional Growth

Fully Remote Work Environment

Job summary

GeBBS Healthcare Solutions, Inc. is seeking an experienced Inpatient Coding Compliance Auditor to join our remote team. You will audit acute care inpatient records for accurate ICD-10-CM, ICD-10-PCS, and CPT coding, ensuring regulatory compliance and proper reimbursement.

Key duties include preparing detailed audit reports, identifying discrepancies, and educating coding staff. The role emphasizes collaboration with remote teams and staying current with CMS guidelines.

Qualifications

• 4+ years of acute care inpatient coding experience.
• Expertise in ICD-10-CM, ICD-10-PCS, and CPT coding – Required.
• Active CCS, RHIA, or RHIT credential.
• Strong understanding of MS-DRGs, IPPS, Medicare reimbursement methodologies.
• Experience auditing inpatient clinical documentation and coding for reimbursement accuracy.
• Ability to identify coding discrepancies and provide actionable recommendations.
• Proficient communication and reporting skills.
• Ability to work independently with remote teams.

Responsibilities

• Audit acute care inpatient medical records for accurate ICD-10-CM/PCS and CPT coding.
• Review diagnoses, procedures, sequencing, and documentation for completeness and accuracy.
• Evaluate coding practices for CMS, OIG, AHIMA, AAPC and client requirements.
• Validate MS-DRG assignments and reimbursement accuracy.
• Identify discrepancies, risks, and opportunities for improvement.
• Prepare detailed audit reports with findings and recommendations.
• Collaborate with coding leadership, CDI, and operations to resolve issues.

Skills

Inpatient coding

ICD-10-CM

ICD-10-PCS

CPT coding

MS-DRGs/IPPS

Regulatory compliance

Epic EHR

Auditing

Remote collaboration

iCodeOne

Education

Bachelor's degree in Health Information Management or related field

Tools

iCodeOne

Epic EHR

Job description

GeBBS Healthcare Solutions, Inc. is seeking an experienced Inpatient Coding Compliance Auditor to join our remote team. You will audit acute care inpatient records for accurate ICD-10-CM, ICD-10-PCS, and CPT coding, ensuring regulatory compliance and proper reimbursement.

Key duties include preparing detailed audit reports, identifying discrepancies, and educating coding staff. The role emphasizes collaboration with remote teams and staying current with CMS guidelines.