Inpatient/Outpatient Facility Coding Auditor

This is a fully remote position, open to applicants in Florida, +3 more states.

📋 Description

• Implement inpatient and outpatient facility/hospital coding and reimbursement methodologies to provide advisory services to PYA clients.

• Assign ICD-10-CM and PCS/CPT/HCPCS codes accurately.

• Conduct MS-DRG and other DRG validations.

• Perform APC validations and charge capture reviews.

• Assist in enhancing clinical documentation.

• Ensure regulatory compliance for third-party payors.

• Collaborate with the PYA executive team and various service lines to deliver comprehensive business solutions to clients.

• Oversee the preparation of high-quality client deliverables.

• Manage projects while balancing firm risk, compliance, and maintaining professional standards.

• Aid in the management of PYA staff.

• Cultivate client relationships with professionalism, executive presence, and transparency.

⛳️ Requirements

• A professional credential is required, such as CCS, RHIA, RHIT, CIC, or another coding credential approved by AHIMA or AAPC.

• A minimum of 7 years of experience in inpatient coding auditing and reimbursement in a hospital environment or with a professional services firm is preferred.

• Previous experience with a professional services firm is preferred.

• Proven expertise in medical terminology, including anatomy and physiology.

• Established proficiency in medical coding auditing, with a solid understanding of billing, coding, and documentation practices for inpatient and outpatient hospital settings.

• Strong knowledge of the Microsoft Office Suite.

• Exceptional written and verbal communication skills.

• Capability to manage multiple projects simultaneously.

• Leadership abilities to support the management of PYA staff.

• Competence in managing client relationships with professionalism, executive presence, and transparency.

• Additional bonus: demonstrated expertise in professional fee coding auditing and a credential in the same, such as CPC or CCS-P.

🏝️ Benefits

• Competitive compensation.

• Comprehensive benefits package.

• Opportunities for career growth and advancement.

• A dynamic and collaborative team environment.

• Professional development opportunities.

• Work with industry leaders dedicated to professional growth and client success.

• Innovative solutions and unmatched service.