Inpatient/Outpatient Facility Coding Auditor - Manager

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 in a Management role.

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

QUALIFICSTIONS: 

• 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
• Bonus: Maintains credentials of a Registered Nurse with both operational and clinical documentation improvement (CDI) experience
• Alternative bonus: Demonstrated expertise in professional fee coding auditing and credentialed in the same (CPC, CCS-P, etc.)

ABOUT PYA:

Serving clients in all 50 states from offices in seven cities, PYA is ranked by INSIDE Public Accounting as one of the nation’s Top 100 largest CPA firms, with the third-highest percentage of female ownership within that group. Forbes has recognized PYA one of America’s Best Tax and Accounting Firms for the last two years. Accounting Today has highlighted PYA as “One of the most successful firms in the country.” Modern Healthcare ranks PYA among the nation’s Top 20 healthcare consulting firms, and PYA is one of the Top 15 auditors of the nation’s largest health systems. 

This success is the result of four decades of steadfast adherence to a culture of responsiveness, integrity and relationships—both with clients and colleagues—"The PYA Way.”

Learn more at pyapc.com.