Job Opening: Professional Coding Auditor/Consultant
Description
Westaff is seeking a Professional Coding Auditor/Consultant for a national healthcare consulting and accounting firm
This is a PERMANENT full time, salaried position. Join a high-performing, dynamic culture!
Salary is Dependent on Experience
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
- Professional services firm experience desired
- 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:
Focused on work-life integration and a culture of service, PYA offers a comprehensive benefits package which includes flexible work options.
Serving clients in all 50 states from offices in Atlanta, Charlotte, Helena, Kansas City, Knoxville, Nashville, and Tampa, PYA is consistently ranked by Modern Healthcare as one of the Top 20 healthcare consulting firms in the U.S. and by INSIDE Public Accounting as one of the nation’s “Top 100” Largest Accounting Firms. PYA also was named one of America’s Best Tax and Accounting Firms of 2022 in the Forbes annual list, and Accounting Today highlighted PYA as “One of the Most Successful Firms in the Country.”
This success is the result of almost four decades of steadfast adherence to a culture of integrity, responsiveness, and relationships – both with clients and teammates.