Inpatient/Outpatient Facility Coding Auditor

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