Professional Coding Auditor / Consultant

Job Description

Job Description

PYA is seeking a Professional Coding Auditor / Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role .

RESPONSIBILITIES :

• Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ).
• Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD / LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E / M and surgical coding, preferably including cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required.
• The Consultant will assist PYA clients with provider coding and documentation improvement, reviews for billing and other regulatory compliance with third party payers, revenue cycle management, as well as reimbursement methodology advisory support.

REQUIREMENTS :

ABOUT PYA

PYA , a leading professional services firm, serves clients across the United States with expertise in healthcare consulting, accounting, compliance, and business strategy. With offices in Knoxville, Atlanta, Tampa, Charlotte, Nashville, and Kansas City, PYA is committed to helping clients achieve their goals through innovative solutions and unparalleled service. Learn more about The PYA Way .

Why Join PYA?