[Hiring] Inpatient Coding Compliance Auditor @Gebbs Healthcare Solutions Inc

Role Description

GeBBS Healthcare Solutions is seeking an experienced Inpatient Coding Compliance Auditor to join our remote team! In this role, you'll conduct comprehensive audits of acute care inpatient medical records to ensure accurate coding, regulatory compliance, and appropriate reimbursement. The ideal candidate brings strong expertise in ICD-10-CM, ICD-10-PCS, and CPT review, along with experience identifying compliance risks, evaluating clinical documentation, and providing education to improve coding quality.

If you're passionate about coding accuracy, compliance, and continuous improvement, we'd love to hear from you!

What You'll Do

• Perform comprehensive audits of acute care inpatient medical records using iCodeOne to validate accurate ICD-10-CM, ICD-10-PCS, and applicable CPT review assignment.
• Review inpatient diagnoses, procedures, sequencing, and clinical documentation to ensure coding accuracy and completeness.
• Evaluate coding practices for compliance with CMS, OIG, AHIMA, AAPC, payer-specific, and client requirements.
• Validate MS-DRG assignments, principal and secondary diagnoses, procedures, and reimbursement accuracy.
• Identify coding discrepancies, documentation gaps, compliance risks, and reimbursement opportunities.
• Prepare detailed audit reports outlining findings, recommendations, and opportunities for improvement.
• Collaborate with coding leadership, CDI, and operational teams to resolve discrepancies and strengthen documentation quality.
• Provide constructive feedback and education to coding professionals based on audit findings.
• Monitor coding quality trends and recommend strategies to improve accuracy, compliance, and overall performance.
• Stay current on inpatient coding guidelines, Medicare reimbursement methodologies, and regulatory updates.

Qualifications

• 4+ years of acute care inpatient coding experience, including coding quality or compliance auditing.
• Demonstrated 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, and applicable federal coding guidelines.
• Experience auditing inpatient clinical documentation, diagnosis and procedure coding, and reimbursement accuracy.
• Ability to identify coding discrepancies and provide actionable recommendations.
• Strong analytical, communication, and written reporting skills.
• Experience delivering coding feedback, education, and quality improvement recommendations.
• Ability to work independently and collaborate effectively with remote teams.
• Proficiency with Epic EHR.

Preferred Qualifications

• Bachelor's degree in Health Information Management, Healthcare Administration, or a related field (or equivalent experience).
• Experience using iCodeOne or similar coding audit platforms.

Benefits

• Supplied Equipment
• Sick Time
• Opportunities for Professional Growth & Career Development
• Fully Remote Work Environment
• Supportive, Collaborative Team Culture

Compensation

$36.00 per hour during production

Ready to Make an Impact?

If you're an experienced Inpatient Coding Compliance Auditor with strong ICD-10-PCS and CPT coding expertise, we'd love to hear from you! Apply today and help GeBBS continue delivering excellence in healthcare coding quality and compliance!