Coding Audit Director (Full-Time, Remote)

Remote, USA Full-time
Description: Director – Internal & External Coding Audits | GeBBS Healthcare Solutions (Remote, Full-Time) GeBBS Healthcare Solutions is seeking a dynamic and experienced Director of Internal and External Coding Audits to join our growing team. This key leadership role will manage and oversee both client-facing audit services and internal quality initiatives, ensuring our coding teams and audit services meet the highest industry standards. About the Role: As the Director of Internal and External Audit, you will lead audit operations and quality assurance efforts across our U.S. and Global teams. This role combines hands-on leadership, strategic oversight, and client interaction to ensure the successful delivery of coding audit services and internal education programs. External Audit Leadership: • Manage and oversee all client-facing audit projects, ensuring clear communication, timely deliverables, and high-quality outcomes. • Build and maintain trusted relationships with clients; collaborate with Sales and Marketing on client engagement. • Assign audit resources, track project performance, and optimize workflows for efficiency and client satisfaction. • Support coding standards and best practices across external audit teams. • Perform audits when necessary, validating ICD-10-CM/PCS and CPT code accuracy, identifying documentation gaps, and providing strategic recommendations. • Monitor audit staff productivity and quality, providing coaching, support, and performance feedback. • Develop enhanced reporting tools and strategies to exceed client expectations and differentiate GeBBS services. Internal Quality Oversight: • Lead internal quality programs for U.S. and Global coding teams, ensuring consistent monthly or quarterly coding audits. • Partner with managers and coders to analyze results and implement education and corrective action plans. • Review and validate coding accuracy (ICD-10-CM, PCS, DRG, CPT, and modifiers) and document findings to continuously improve quality. • Coordinate internal training programs aligned with audit trends and industry updates. • Schedule, support, and oversee audits conducted by internal or external auditors. Requirements: • Associate’s, Bachelor’s, or Master’s degree in Health Information Management (preferred). • At least 3 years of leadership experience in the healthcare industry and 5+ years of hands-on coding experience. • Must hold one or more credentials: RHIA, RHIT, or CCS. • Proven experience in inpatient and outpatient coding (ICD-10-CM/PCS, CPT, E/M, HCPCS). • In-depth understanding of coding compliance, reimbursement methodologies, and federal/state/payor regulations. • Strong organizational, project management, and decision-making skills. • Proficient in Microsoft Office Suite and familiar with audit tools, EMR systems, and abstracting applications. • Excellent communication skills for presenting audit findings and training to individuals and large groups. • Must be self-motivated, detail-oriented, and thrive in a fast-paced remote environment. Why Join GeBBS? • Leadership role in a rapidly growing healthcare solutions company. • Remote flexibility with a supportive and collaborative team culture. • Opportunity to influence quality and compliance across national and global operations. • Competitive salary and comprehensive benefits. Apply tot his job
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