Coding Compliance Auditor in East Haven, Connecticut at GEBBS HEALTHCARE SOLUTIONS INC
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Job Description
GeBBS Healthcare Solutions
Full-Time | Remote
Help Shape the Future of Coding Accuracy and Healthcare Compliance
Are you passionate about coding integrity, regulatory excellence, and helping healthcare organizations maintain the highest standards? GeBBS Healthcare Solutions is 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. If you enjoy analyzing trends, influencing best practices, and partnering with coding professionals to drive continuous improvement, we'd love to hear from you.
What You'll Do
- 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.
What You Bring
- 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).
Why GeBBS?
At GeBBS, we're passionate about helping healthcare organizations improve financial performance through innovation, quality, and exceptional client service. When you join our team, you'll work alongside industry-leading professionals in a collaborative, remote-first environment where your expertise is valued and your career can continue to grow.
We offer a comprehensive benefits package, including:- 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
Compensation: $36.00/hr during production
Ready to make an impact?If you're an experienced Coding Compliance Auditor looking to join a respected healthcare technology and Revenue Cycle Management leader, we'd love to hear from you. Apply today and help GeBBS continue delivering excellence in healthcare compliance and coding quality.