Coding Compliance Auditor

About the role

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. We are seeking an experienced Coding Compliance Auditor to join our growing team of industry experts. In this role, you'll leverage your extensive coding knowledge to evaluate documentation accuracy, identify compliance risks, and provide meaningful education that improves coding quality across complex healthcare environments.

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.

Requirements

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

Preferred Qualifications

• Bachelor's degree in Health Information Management, Healthcare Administration, or a related discipline (or equivalent experience).

Benefits

• Medical, Dental & Vision Insurance
• 401(k) with Company Match
• Paid Time Off & Paid Holidays
• Flexible Spending Accounts (FSA)
• Opportunities for Professional Growth & Career Development
• Fully Remote Work Environment
• Supportive, Collaborative Team Culture

Pay

$36.00 per hour