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Inpatient/Outpatient Facility Coding Auditor

3 months ago

Helena, United States PYA, P.C. Full time
Job DescriptionJob 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 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

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
  • 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:

Ranked among the top CPA firms in the nation by USA Today, Forbes, and INSIDE Public Accounting, PYA is also a leader in the percentage of female ownership. We are a Top 15 auditor of the nation’s largest health systems and are consistently ranked as one of the country’s Top 20 healthcare consulting firms by Modern Healthcare.

Serving clients in all 50 states from our headquarters in Knoxville, as well as offices in Atlanta, Charlotte, Kansas City, Nashville, and Tampa, PYA provides expertise in tax, audit and assurance, IT, and management consulting. PYA’s success results from 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.