About the role
PYA is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our nationally recognizedRevenue and Compliance Advisory team. As a trusted advisor to leading healthcare organizations, you will apply your expertise in coding, reimbursement, compliance, and documentation to help clients improve revenue integrity and reduce risk.
WHAT YOU'LL DO
* Perform inpatient and outpatient facility coding audits and reimbursement reviews, including: * ICD-10-CM/PCS, CPT, and HCPCS coding validation * MS-DRG and APC validation * Charge capture and revenue integrity reviews * Clinical documentation improvement (CDI) assessments * Third-party payer compliance evaluations * Deliver high-quality client reports, recommendations, and presentations * Manage multiple engagements while maintaining exceptional quality and compliance standards * Collaborate with PYA's consulting, compliance, and executive teams to deliver comprehensive client solutions
WHAT WE'RE LOOKING FOR
* CCS, RHIA, RHIT, CIC, or another AHIMA/AAPC coding credential required * 5+ years of inpatient coding auditing and reimbursement experience, preferably in a hospital, consulting, or professional services environment * Strong knowledge of coding, billing, reimbursement, and documentation requirements across inpatient and outpatient hospital settings * Excellent communication, project management, and client relationship skills * Ability to manage multiple priorities in a fast-paced, client-focused environment
HIGHLY PREFERRED
* Professional fee (profee) coding audit experience * CPC, CCS-P, or similar professional fee coding credential * Experience within a healthcare consulting or professional services firm
WHY PYA
* Join a high-performing, collaborative, and privately owned firm with a strong national reputation * Work alongside industry-leading healthcare consultants and coding professionals * Enjoy meaningful client impact, professional growth opportunities, competitive compensation, and comprehensive benefits
Originally posted on Himalayas