Facility Coding Auditor - Inpatient/Outpatient Advisory

PYA; Atlanta (GA); On-site; USD 70,000 - 100,000; Full time

Job summary

PYA is seeking an Inpatient/Outpatient Facility Coding Auditor to join its private, nationally recognized firm. You will support PYA’s Revenue and Compliance Advisory Program and work with hospital clients on coding, audits, DRG validation, and reimbursement strategies.

Ideal candidates have 5+ years inpatient coding auditing experience and credentials such as CCS, RHIA, RHIT or CIC. Strong communication, leadership, and client relationship skills are essential.

Qualifications

• Professional credential required such as CCS, RHIA, RHIT, CIC or other AHIMA or AAPC approved coding credential
• Minimum of 5 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

Responsibilities

• Apply inpatient and outpatient facility/hospital coding and reimbursement methodologies to provide advisory services to clients
• Code ICD-10-CM and PCS/CPT/HCPCS and validate DRGs
• Perform APC validation and charge capture
• Support clinical documentation improvement and regulatory compliance for third party payors
• Collaborate with the PYA executive team to deliver complete business solutions
• Manage client deliverables with strong project management and risk awareness

Skills

Coding credentials

Leadership/communication

Tools

Microsoft Office Suite

Job description

PYA is seeking an Inpatient/Outpatient Facility Coding Auditor to join its private, nationally recognized firm. You will support PYA’s Revenue and Compliance Advisory Program and work with hospital clients on coding, audits, DRG validation, and reimbursement strategies.

Ideal candidates have 5+ years inpatient coding auditing experience and credentials such as CCS, RHIA, RHIT or CIC. Strong communication, leadership, and client relationship skills are essential.