Remote ProFee Coding Auditor - QA & Compliance

GeBBS; United States; Remote; USD 31,000 - 44,000; Part time

Job summary

GeBBS Healthcare Solutions is seeking an experienced Professional Fee Inpatient & Outpatient Coding Auditor for a remote, part-time role (20 hours/week, Monday-Friday).

You will audit professional fee coding across inpatient and outpatient services, ensure accuracy and compliance with ICD-10-CM, CPT, HCPCS, and modifiers, and provide actionable feedback to coding staff. The position emphasizes CMS/NCCI guidance and ongoing education.

Qualifications

• Minimum 3 years of professional fee coding experience in hospital inpatient/outpatient settings.
• Minimum 2 years of coding auditing, quality assurance, compliance, or coding education experience.
• Active CPC, CPMA, or AHIMA/AAPC equivalent certification required.
• Strong proficiency in ICD-10-CM, CPT, HCPCS Level II, and modifier assignment.
• Experience with Official Coding Guidelines, Coding Clinic guidance, NCCI/OCE edits, and payer policies.
• Proven ability to identify coding discrepancies, compliance concerns, and quality improvement opportunities.

Responsibilities

• Conduct comprehensive audits of professional fee inpatient and outpatient coding for accuracy and compliance.
• Review medical records to validate ICD-10-CM, CPT, HCPCS Level II, and modifier assignments including Hospital E/M leveling and office procedures.
• Identify coding errors, documentation gaps, and opportunities for improvement.
• Evaluate modifier usage, code sequencing, and alignment with guidelines.
• Prepare audit reports with findings, recommendations, and education opportunities.
• Provide feedback, coaching, and coding education to improve accuracy and consistency.
• Monitor coding quality trends and root causes, recommending corrective actions.
• Collaborate with coding leadership and operations to support QA and process improvements.
• Research coding updates, reimbursement regulations, and payer guidelines to stay compliant.

Skills

Professional fee coding

Auditing

Regulatory compliance

Attention to detail

Communication

Independent work

Time management

Education

CPC/CPMA or AHIMA/AAPC certification

Tools

EHR systems

Encoder software

Auditing platforms

Revenue cycle applications

Epic

Job description

GeBBS Healthcare Solutions is seeking an experienced Professional Fee Inpatient & Outpatient Coding Auditor for a remote, part-time role (20 hours/week, Monday-Friday).

You will audit professional fee coding across inpatient and outpatient services, ensure accuracy and compliance with ICD-10-CM, CPT, HCPCS, and modifiers, and provide actionable feedback to coding staff. The position emphasizes CMS/NCCI guidance and ongoing education.