Inpatient/Outpatient Facility Coding Auditor

PYA P C•Tampa, FL

About The Position

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.

Requirements

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
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

Nice To Haves

Previous experience working with a professional services firm preferred
Alternative bonus: Demonstrated expertise in professional fee coding auditing and credentialed in the same (CPC, CCS-P, etc.)

Responsibilities

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