Inpatient auditor (P)
GeBBS Healthcare Solutions · East Haven, CT · Today
On-siteAccountingFull-time
Inpatient Facility Auditor – Future Opportunities (Talent Pool) Remote 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. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance. At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare. The Facility Inpatient Coding Auditor is responsible for prebill audits for inpatient facility coders with a focus on accuracy, compliance, and quality, while providing education and feedback to coding and QA team members. This role ensures adherence to official coding guidelines, regulatory requirements, and organizational standards, and supports continuous improvement through targeted education, data analysis, and collaboration. Coding Audit & Compliance Conduct comprehensive audits of inpatient facility coding, including MS-DRGs, ICD-10-CM/PCS, POA indicators, discharge disposition, query opportunities, and quality-related data elements Ensure compliance with official coding guidelines, CMS regulations, payer requirements, and internal policies Identify coding errors, trends, and root causes impacting reimbursement, quality metrics, and compliance risk Validate documentation supports coded diagnoses and procedures Additional Role Details Long term assignment Schedule: Full-time availability is strongly preferred. However, part-time candidates (20+ hours per week) may be considered for the right individual. Requirements Active coding credential: RHIA, RHIT, CCS (required)Minimum 3 years of inpatient facility auditing experienceExpert knowledge of ICD-10-CM/PCS, MS-DRGs, POA indicators, and UHDDSStrong understanding of CMS regulations, OIG guidance, and compliance standardsExperience working with or supporting global or remote coding teamsExpected Production of 2 CPHAvailable for full-time workUS based Skills & Competencies Excellent written and verbal communication skillsStrong analytical and critical-thinking abilitiesAbility to educate and influence without direct authorityCultural awareness and ability to collaborate across time zonesProficiency with Microsoft Office