Remote ProFee ED Auditor & QA Specialist

Gebbs Healthcare Solutions Inc; United States; Remote; USD 85,000 - 115,000; Full time

Job summary

GeBBS Healthcare Solutions is seeking a Remote ProFee Emergency Department Coding Auditor / QA Specialist to join our team. The role focuses on auditing professional ED coding, E/M leveling, and ensuring documentation accuracy and regulatory compliance.

The ideal candidate has at least 3 years of ProFee ED auditing experience, CPC/CEMC or equivalent certification, and strong ability to provide actionable feedback to improve coding quality."

Qualifications

• Minimum 3 years of professional coding auditing experience, specifically involving ProFee Emergency Department services.
• Experience with ED E/M leveling and procedure coding.
• Knowledge of ICD-10-CM, CPT, HCPCS and payer guidelines.
• Strong documentation and communication skills.

Responsibilities

• Perform detailed audits of Professional Fee Emergency Department encounters, ensuring accurate E/M leveling, procedure coding, and appropriate code assignment.
• Conduct onboarding coding reviews and quality assessments to support client-specific requirements and standards.
• Review medical documentation for compliance with ICD-10-CM, CPT, HCPCS, and applicable payer guidelines.
• Identify coding discrepancies, documentation deficiencies, missed charges, and opportunities for improved accuracy and compliance.
• Apply current and historical E/M documentation guidelines, including 1995, 1997, and updated 2021 and subsequent guidelines, as applicable to the services being audited.
• Prepare accurate audit reports, summarize findings, and provide recommendations for corrective action.
• Collaborate with coding teams, leadership, and clients to communicate audit findings and support quality improvement initiatives.
• Assist with coder and provider education, including clarification of coding guidelines, documentation requirements and audit findings.
• Maintain established quality and productivity standards while meeting client deadlines.
• Stay current with regulatory updates, coding changes and Medicare, Medicaid and commercial payer requirements.

Skills

ProFee ED auditing

ED E/M leveling

ICD-10-CM

CPT/HCPCS

Regulatory compliance

Auditing feedback

Excel

Word

Education

CEMC/CPC certification

CPMA certification

AHIMA credentials (CCS-P, RHIA, RHIT)

Tools

Excel

Word

Job description

GeBBS Healthcare Solutions is seeking a Remote ProFee Emergency Department Coding Auditor / QA Specialist to join our team. The role focuses on auditing professional ED coding, E/M leveling, and ensuring documentation accuracy and regulatory compliance.

The ideal candidate has at least 3 years of ProFee ED auditing experience, CPC/CEMC or equivalent certification, and strong ability to provide actionable feedback to improve coding quality."