Role Description

GeBBS Healthcare Solutions is seeking a detail-oriented, full-time, remote Primary Care Validation Coder to support coding quality and compliance initiatives. In this role, you will perform secondary reviews of coded medical records to ensure accurate assignment of ICD-10-CM, CPT, HCPCS, and modifier coding in accordance with client guidelines, regulatory requirements, and industry best practices. The ideal candidate has strong coding expertise, exceptional analytical skills, and a commitment to maintaining coding accuracy and quality standards. This is a flexible, remote opportunity requiring full-time availability working during regular business hours Monday through Friday.

• Provide high-quality coding validation and quality assurance services.
• Review completed coding assignments and identify coding discrepancies.
• Ensure compliance with applicable coding guidelines and documentation requirements.
• Perform validation of AI coded E/M and diagnoses for Primary Care.
• Review and verify ICD-10-CM, CPT, HCPCS, and modifier assignments.
• Identify coding errors, documentation gaps, and compliance concerns.
• Provide detailed feedback and rationale for coding corrections when necessary.
• Maintain client-specific productivity and accuracy standards.
• Work collaboratively with coding and quality teams to support coding excellence.

Qualifications

• Current CPC, CEMC, CCA, CCS, or equivalent credential through AAPC or AHIMA required.
• Minimum of 3 years of professional fee coding experience.
• Minimum of 2 years of coding validation, auditing, or quality assurance experience preferred.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, modifier usage, and CMS/AAPC coding guidelines.
• Experience reviewing E/M services, preventive visits, annual wellness visits, and office procedures.
• Ability to identify documentation deficiencies and coding opportunities.
• Experience with EPIC and other EMR platforms preferred.
• Excellent attention to detail with a demonstrated accuracy rate of 95% or higher.
• Strong written communication skills and ability to provide clear coding rationale.
• Ability to work independently in a remote environment.

Requirements

• Previous coding audit, compliance, or quality assurance experience preferred.
• Experience supporting multiple provider specialties and client environments.
• Familiarity with payer-specific coding and reimbursement guidelines.

Company Description

Join GeBBS Healthcare Solutions and help drive coding quality, accuracy, and compliance through expert validation and review services.