Inpatient/Outpatient Facility Coding Auditor

Pyagatesmoore; Atlanta (GA); Hybrid; USD 90,000 - 150,000; Full time

Job summary

PYA Atlanta is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our Revenue and Compliance Advisory team. You will apply your expertise in coding, reimbursement, and documentation to help clients improve revenue integrity and reduce risk.

Primary responsibilities include inpatient and outpatient facility coding audits, delivering client reports and presentations, and collaborating with consulting, compliance, and executive teams to deliver comprehensive solutions.

Qualifications

• 5+ years of inpatient coding auditing and reimbursement experience.
• AHIMA/AAPC coding credentials required.

Responsibilities

• Perform inpatient and outpatient facility coding audits and reimbursement reviews including ICD-10-CM/PCS, CPT, and HCPCS.
• Deliver high-quality client reports, recommendations, and presentations.
• Manage multiple engagements while maintaining quality and compliance standards.
• Collaborate with PYA's consulting, compliance, and executive teams to deliver comprehensive client solutions.

Skills

Inpatient auditing

Communication skills

Project management

Client relationships

Multitasking

Education

CCS

RHIA

RHIT

CIC

Job description

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Inpatient/Outpatient Facility Coding Auditor

Full Time PYA Atlanta, Atlanta, GA, US

30+ days ago Requisition ID: 1017

PYA is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our nationally recognized Revenue 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