Inpatient/Outpatient Facility Coding Auditor

🕒 August 6

🐊 Florida, Kansas, +2 more states – Remote

🐊 Florida – Remote 🌪️ Kansas – Remote 🌲 North Carolina – Remote 🎸 Tennessee – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

🔎 Auditor

👻 Ghost score 38%

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PYA

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1983

💼 Consulting

🏥 Healthcare

💸 Finance

Consulting • Healthcare • Finance

PYA is a nationally recognized accounting and consulting firm specializing in audit, tax, and advisory services with a strong focus on healthcare and other industries. With expertise in regulatory compliance, performance transformation, and technology solutions, PYA assists a variety of clients including hospitals, health systems, and private equity firms. The firm's commitment to independent ownership allows them to prioritize client relationships and deliver thorough, thoughtful strategies for business success.

📋 Description

• Apply inpatient and outpatient facility/hospital coding and reimbursement methodologies to provide advisory services to PYA clients • Assign ICD-10-CM and PCS/CPT/HCPCS codes • Perform MS-DRG and other DRG validation • Perform APC validation and charge capture review • Support clinical documentation improvement • Address regulatory compliance for third-party payors • Collaborate with the PYA executive team and other service lines to offer complete business solutions to clients • Manage preparation of excellent client deliverables • Manage projects while balancing firm risk, compliance, and appropriate professional standards • Support management of PYA staff • Manage client relationships with professionalism, executive presence, and candor

🎯 Requirements

• Professional credential required, such as CCS, RHIA, RHIT, CIC, or another 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 • Leadership skills supporting management of PYA staff • 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, such as CPC or CCS-P

🏖️ Benefits

• Competitive compensation • Comprehensive benefits • Opportunities for career advancement • Dynamic and collaborative team • Professional growth opportunities • Work with industry leaders committed to professional growth and client success • Innovative solutions and unparalleled service

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