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.
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