PYA Waltman Capital LLC · 2 months ago
Professional Coding Auditor/Consultant
PYA Tampa, Tampa, FL, US
Full-time
Hybrid
Senior Level
5+ years expPYA is a leading professional services firm that specializes in healthcare consulting, accounting, compliance, and business strategy. They are seeking a Professional Coding Auditor/Consultant to support their Revenue Integrity team by conducting coding audits, providing education, and assisting clients with documentation improvement and compliance.
ConsultingFinancial ServicesRetirement
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
Qualification
Required
5-7 years of multiple specialty coding auditing
Expertise in E/M and surgical coding 5-10 specialties and high-working knowledge in more
Experience with coding auditing associated with 1,000s of records per year
Experience in using one or more audit tools, e.g. Audit Manager, Intellicode, MDAudit, etc
Comfortable in a fast-paced, short-deadline environment
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)
Ability to work in a fast-paced, high-volume coding audit (4-6 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 and time management
Traits that include detail-oriented, organized, flexible, and responsive
Preferred
Expertise in facility inpatient and outpatient coding auditing is preferred but not required
Additional credentials such as RHIT, CCS, CPMA, or specialty designations desirable
Physician practice operations, including 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 and educating physicians and other healthcare providers is preferred
Professional services firm experience desired
Benefits
Competitive compensation
Comprehensive benefits
Opportunities for career advancement
Company
PYA Waltman Capital LLC
PYA Waltman Capital provides comprehensive financial planning for busy professionals and families.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Jessica Ott
CCO & Director of Client Service
Company data provided by crunchbase