Talent.com
Professional Coding Auditor/Consultant
Professional Coding Auditor/ConsultantPYA • Atlanta, GA, USA
Professional Coding Auditor/Consultant

Professional Coding Auditor/Consultant

PYA • Atlanta, GA, USA
30+ days ago
Job type
  • Full-time
Job description

Job Details

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 Service Line 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
  • 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:

Serving clients in all 50 states from offices in seven cities, PYA is ranked by INSIDE Public Accounting as one of the nation’s Top 100 largest CPA firms, with the third-highest percentage of female ownership within that group. Forbes has recognized PYA one of America’s Best Tax and Accounting Firms for the last two years. Accounting Today has highlighted PYA as “One of the most successful firms in the country.” Modern Healthcare ranks PYA among the nation’s Top 20 healthcare consulting firms, and PYA is one of the Top 15 auditors of the nation’s largest health systems.

This success is the result of four decades of steadfast adherence to a culture of responsiveness, integrity and relationships—both with clients and colleagues—"The PYA Way.”

Create a job alert for this search

Professional Coding Auditor/Consultant • Atlanta, GA, USA

Similar jobs

Provider Auditor Senior

Elevance HealthAtlanta, GA, United States
Full-time

Provider Auditor Senior - Audit Location: Atlanta, GA; Norfolk, VA & Indianapolis, IN Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connec...Show more

 • Promoted

Atlanta Internal Audit and Financial Advisory Consultant - 2026

ProtivitiAtlanta, GA, United States
Full-time

Atlanta Internal Audit And Financial Advisory Consultant - 2026.The Protiviti career provides an opportunity to learn, impact, and advance within a collaborative and inclusive culture.We hire curio...Show more

 • Promoted

Sr Internal Auditor - Wealth

SunTrust Investment Services, Inc.Atlanta, GA, United States
Full-time +1

Truist Senior Internal Auditor.Truist Senior Internal Auditor is responsible for assisting in the completion and documentation of risk based internal audit assurance activities that may include com...Show more

 • Promoted

Senior Auditor-2

GE VernovaAtlanta, GA, United States
Full-time

Senior Auditor - Digital Technology & Cybersecurity.The Senior Auditor - Digital Technology & Cybersecurity will play a significant role in transforming and elevating GE Vernova's internal audit ca...Show more

 • Promoted

Consultant

CFGIAtlanta, GA, United States
Full-time

Consultant – Accounting Advisory.Our consultants work as part of a team with other CFGI professionals, Big 4 auditors, and client management on all facets of the engagements, including analyzing fi...Show more

 • Promoted

Premium Field Auditor

AMERISAFE, Inc.Atlanta, GA, United States
Temporary

AMERISAFE is seeking a detail-oriented, productivity driven professional to add to our Excellence Team based in the greater Atlanta area.The Field Auditor is responsible for independently conductin...Show more

 • Promoted

Staff Internal Auditor

GreenSkyAtlanta, GA, United States
Full-time

GreenSky, LLC, headquartered in Atlanta, is a leading technology company Powering Commerce at the Point of Sale for a growing ecosystem of merchants, consumers, and banks.GreenSky's highly scalable...Show more

 • Promoted

Sr Internal Auditor - Capital Markets & Investment Banking

SunTrust Investment Services, Inc.Atlanta, GA, United States
Full-time

Truist Senior Internal Auditor.Truist Senior Internal Auditor is responsible for assisting in the completion and documentation of risk based internal audit assurance activities that may include com...Show more

 • Promoted

Senior Auditor

Seacoast BankAtlanta, GA, United States
Full-time

Job Category: Audit Requisition Number: SENIO005834.Stuart, FL 34994, USA +5 more locations.The Senior Auditor participates in all critical aspects of delivering independent audit assurance service...Show more

 • Promoted

Large Bank Capital Markets Internal Audit Senior Consultant

CroweAtlanta, GA, United States
Full-time

Large Bank Capital Markets Audit Senior Consultant Compliance Focus.At Crowe, you can build a meaningful and rewarding career.With real flexibility to balance work with life moments, you're trusted...Show more

 • Promoted

Job Senior Premium Auditor

Berkshire Hathaway GUARD Insurance CompaniesAlpharetta, GA, United States
Full-time

Good things are happening at Berkshire Hathaway GUARD Insurance Companiesan A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway.With supportive leadership, coll...Show more

 • Promoted

Auditor

Contact Government ServicesAtlanta, GA, United States
Full-time +1

Employment Type: Full-Time, Mid-Level.CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex fi...Show more

 • Promoted

Consultant (McCamish 5B)

InfosysAtlanta, GA, United States
Full-time

Infosys McCamish Implementation Specialist.This role requires deep expertise in financial services processes and insurance operations, with a strong ability to analyze requirements, design effectiv...Show more

 • Promoted

DRG & Medical Record Auditor & Trainer - Remote

A-Line Staffing Solutions LLCAtlanta, GA, United States
Remote
Full-time +1

Clinical Coding Auditor & TrainerLocation :Remote (Travel to New York twice annually)Employment Type :Full-Time, Direct Hire / PermanentCompensation :$55,100 - $99,000 annuallyAbout the Organizatio...Show more

 • Promoted

Premium Audit Associate

AmTrust Financial ServicesAlpharetta, GA, United States
Full-time

Please note, this position will be located on-site 4 days a week at our Alpharetta, GA office (Fridays WFH).As a Premium Audit Associate, you will serve as a key point of contact for customers, age...Show more

 • Promoted

Claims Auditor

StarrcompaniesAtlanta, GA, United States
Full-time

Claims Auditor Commercial Insurance Industry.Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and...Show more

 • Promoted

Sr Internal Auditor - Technology

SunTrust Investment Services, Inc.Atlanta, GA, United States
Full-time +2

Truist Senior Internal Auditor.Truist Senior Internal Auditor is responsible for assisting in the completion and documentation of risk based internal audit assurance activities that may include com...Show more

 • Promoted

Senior Auditor-1

GE VernovaAtlanta, GA, United States
Full-time

Senior Auditor - Digital Technology & Cybersecurity.The Senior Auditor - Digital Technology & Cybersecurity will play a significant role in transforming and elevating GE Vernova's internal audit ca...Show more