[Hiring] Inpatient/Outpatient Facility Coding Auditor @PYA P C

Role Description

PYA is seeking an Inpatient/Outpatient Facility Coding Auditor to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue and Compliance Advisory Program.

• Apply inpatient and outpatient facility/hospital coding and reimbursement methodologies to provide advisory services to PYA clients with a focus on the following:
• ICD-10-CM and PCS/CPT/HCPCS code assignment
• MS-DRG and other DRG validation
• APC validation and charge capture
• Clinical documentation improvement
• Regulatory compliance for third party payors
• Work in collaboration with the PYA executive team and other service lines to offer complete business solutions to clients
• Manage the preparation of excellent client deliverables and exhibit exceptional project management skills while balancing firm risk and compliance with appropriate professional standards

Qualifications

• Professional credential required such as CCS, RHIA, RHIT, CIC or other AHIMA or AAPC approved coding credential
• Minimum of 7 years of inpatient coding auditing and reimbursement experience in a hospital setting or with a professional services firm preferred
• Previous experience working with a professional services firm preferred
• Demonstrated expertise in medical terminology, including anatomy and physiology
• Demonstrated expertise in medical coding auditing with knowledge of billing, coding, and documentation practices in inpatient and outpatient hospital settings
• Adept knowledge of Microsoft Office Suite
• Excellent written and oral communication skills
• Ability to handle multiple projects
• Exhibits leadership skills supporting the management of PYA staff
• Demonstrated ability to manage client relationships with professionalism, executive presence, and candor
• Alternative bonus: Demonstrated expertise in professional fee coding auditing and credentialed in the same (CPC, CCS-P, etc.)

Benefits

• Be part of a dynamic and collaborative team that values innovation and excellence
• Work with industry leaders who are committed to professional growth and client success
• Competitive compensation, comprehensive benefits, and opportunities for career advancement