Job Description

Job Description

Job Description

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.

• 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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