PYA
Professional Coding Auditor / Consultant
PYA, Charlotte, North Carolina, United States, 28245
Professional Coding Auditor / Consultant
Join to apply for the
Professional Coding Auditor / Consultant
role at
PYA Professional Coding Auditor / Consultant
1 week ago Be among the first 25 applicants Join to apply for the
Professional Coding Auditor / Consultant
role at
PYA Get AI-powered advice on this job and more exclusive features. 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 quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as 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, especially 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 documentation improvement, reviews for billing and other regulatory compliance with third party payers, revenue cycle management, as well as reimbursement methodology advisory support. REQUIREMENTS: Current credential of CPC/CCS-P or related coding professional credential required Strong understanding of and experience in auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines required Experience in surgical coding auditing is required (cardiology and orthopedic surgery is preferred) Additional credentials such as RHIT, CCS, CPMA, or specialty designations desirable Physician financial reimbursement and revenue cycle understanding is preferred Knowledge related to post-acute coding and billing (SNF, Home Health, Palliative Care, Behavioral Health) is a plus Experience presenting to physicians and other healthcare providers required Ability to work in a fast-paced, high-volume coding audit (5-7 encounters per hour average expected) environment with a team, which expects high-quality deliverables and accuracy to clients Superior communication skills, both oral and written Excellent project management skills Traits that include detail-oriented, flexible, and responsive ABOUT PYA: PYA is an independently owned, nationally recognized professional services firm with more than 40 years of service in accounting, tax, audit, and healthcare management consulting. Listed among the top CPA firms in the nation by
USA Today ,
Forbes , and INSIDE Public Accounting, PYA also consistently ranks as one of the country’s Top 20 healthcare consulting firms by
Modern Healthcare , is a Top 15 auditor of the nation’s largest health systems and is an industry leader in the percentage of female ownership. Learn more about The PYA Way. Seniority level
Seniority level Associate Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Health Care Provider Industries Business Consulting and Services Referrals increase your chances of interviewing at PYA by 2x Inferred from the description for this job
Medical insurance Vision insurance 401(k) Disability insurance Get notified about new Auditor jobs in
Charlotte, NC . Internal Auditor II - Finance & Reg Reporting
Mooresville, NC $59,800.00-$99,900.00 5 days ago Charlotte, NC $113,280.00-$152,910.00 1 week ago Charlotte, NC $195,230.00-$351,410.00 1 week ago Charlotte, NC $130,000.00-$150,000.00 6 days ago Sr. Internal Auditor - Finance & Reg Reporting
Charlotte, NC $130,000.00-$140,000.00 1 week ago Charlotte, NC $51,040.00-$90,360.00 6 months ago Huntersville, NC $117,000.00-$125,000.00 3 months ago Charlotte, NC $90,000.00-$100,000.00 4 days ago Supplier Quality Auditor @ Charlotte, NC (1099 Contractor)
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Join to apply for the
Professional Coding Auditor / Consultant
role at
PYA Professional Coding Auditor / Consultant
1 week ago Be among the first 25 applicants Join to apply for the
Professional Coding Auditor / Consultant
role at
PYA Get AI-powered advice on this job and more exclusive features. 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 quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as 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, especially 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 documentation improvement, reviews for billing and other regulatory compliance with third party payers, revenue cycle management, as well as reimbursement methodology advisory support. REQUIREMENTS: Current credential of CPC/CCS-P or related coding professional credential required Strong understanding of and experience in auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines required Experience in surgical coding auditing is required (cardiology and orthopedic surgery is preferred) Additional credentials such as RHIT, CCS, CPMA, or specialty designations desirable Physician financial reimbursement and revenue cycle understanding is preferred Knowledge related to post-acute coding and billing (SNF, Home Health, Palliative Care, Behavioral Health) is a plus Experience presenting to physicians and other healthcare providers required Ability to work in a fast-paced, high-volume coding audit (5-7 encounters per hour average expected) environment with a team, which expects high-quality deliverables and accuracy to clients Superior communication skills, both oral and written Excellent project management skills Traits that include detail-oriented, flexible, and responsive ABOUT PYA: PYA is an independently owned, nationally recognized professional services firm with more than 40 years of service in accounting, tax, audit, and healthcare management consulting. Listed among the top CPA firms in the nation by
USA Today ,
Forbes , and INSIDE Public Accounting, PYA also consistently ranks as one of the country’s Top 20 healthcare consulting firms by
Modern Healthcare , is a Top 15 auditor of the nation’s largest health systems and is an industry leader in the percentage of female ownership. Learn more about The PYA Way. Seniority level
Seniority level Associate Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Health Care Provider Industries Business Consulting and Services Referrals increase your chances of interviewing at PYA by 2x Inferred from the description for this job
Medical insurance Vision insurance 401(k) Disability insurance Get notified about new Auditor jobs in
Charlotte, NC . Internal Auditor II - Finance & Reg Reporting
Mooresville, NC $59,800.00-$99,900.00 5 days ago Charlotte, NC $113,280.00-$152,910.00 1 week ago Charlotte, NC $195,230.00-$351,410.00 1 week ago Charlotte, NC $130,000.00-$150,000.00 6 days ago Sr. Internal Auditor - Finance & Reg Reporting
Charlotte, NC $130,000.00-$140,000.00 1 week ago Charlotte, NC $51,040.00-$90,360.00 6 months ago Huntersville, NC $117,000.00-$125,000.00 3 months ago Charlotte, NC $90,000.00-$100,000.00 4 days ago Supplier Quality Auditor @ Charlotte, NC (1099 Contractor)
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr