Inpatient/Outpatient Facility Coding Auditor

Realty Trust Group; Charlotte (NC); Presencial; USD 100.000 - 130.000; Jornada completa

Descripción de la vacante

Realty Trust Group is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our revenue and compliance advisory team. You will perform inpatient and outpatient facility coding audits, validate ICD-10-CM/PCS, CPT, and HCPCS, and contribute to MS-DRG and APC validation while ensuring revenue integrity.

You will deliver high-quality client reports and presentations, manage multiple engagements, and collaborate with cross-functional teams to provide comprehensive solutions for

Formación

• Credential requirements: CCS, RHIA, RHIT, CIC or equivalent.
• 5+ years inpatient coding auditing experience.
• Strong knowledge of inpatient/outpatient coding and reimbursement.
• Excellent communication and client management skills.

Responsabilidades

• Audit inpatient and outpatient facility coding and reimbursement.
• Validate ICD-10-CM/PCS, CPT, and HCPCS coding.
• Assess MS-DRG and APC validation.
• Lead CDI assessments and revenue integrity reviews.
• Deliver client reports and recommendations.

Conocimientos

AHIMA/AAPC credentials

Inpatient coding auditing

Project management

Client relationship management

Descripción del empleo

Inpatient/Outpatient Facility Coding AuditorPYA 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 validationMS-DRG and APC validationCharge capture and revenue integrity reviewsClinical documentation improvement (CDI) assessmentsThird-party payer compliance evaluationsDeliver high-quality client reports, recommendations, and presentationsManage multiple engagements while maintaining exceptional quality and compliance standardsCollaborate 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 required5+ years of inpatient coding auditing and reimbursement experience, preferably in a hospital, consulting, or professional services environmentStrong knowledge of coding, billing, reimbursement, and documentation requirements across inpatient and outpatient hospital settingsExcellent communication, project management, and client relationship skillsAbility to manage multiple priorities in a fast-paced, client-focused environmentHighly PreferredProfessional fee (profee) coding audit experienceCPC, CCS-P, or similar professional fee coding credentialExperience within a healthcare consulting or professional services firm

Why PYA

Join a high-performing, collaborative, and privately owned firm with a strong national reputationWork alongside industry-leading healthcare consultants and coding professionalsEnjoy meaningful client impact, professional growth opportunities, competitive compensation, and comprehensive benefits