Inpatient/Outpatient Facility Coding Auditor
TypeFull-time job
LocationUnited States
Posted1 hour ago
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
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
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