• Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role.
United States Jobs Expertini

Professional Coding Auditor/Consultant Job Opening In Knoxville – Now Hiring PYA


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.”

    Required Skill Profession

    Financial Specialists


    • Job Details

    Related Jobs

    Albany Medical Center hiring Professional Coding Auditor Job in Albany, NY, United States
    Albany Medical Center
    Albany, NY, United States
    Premier Medical Group of the Hudson Valley hiring Professional Coding Educator/Auditor Job in Poughkeepsie, NY, United States
    Premier Medical Group of the Hudson Valley
    Poughkeepsie, NY, United States
    Emory Healthcare/Emory University hiring Professional Coding Compliance Auditor Job in Atlanta, GA, United States
    Emory Healthcare/Emory University
    Atlanta, GA, United States
    Northwell Health hiring Coding Auditor Job in Lake Success, New York, United States
    Northwell Health
    Lake Success, New York, United States
    WellSpan Health hiring Coding Auditor Job in York, PA, United States
    WellSpan Health
    York, PA, United States
    WellSpan Health hiring Coding Auditor Job in York, PA, United States
    WellSpan Health
    York, PA, United States
    Catholic Health hiring Professional Medical Coding Educator Auditor HCS Job in Buffalo, NY, United States
    Catholic Health
    Buffalo, NY, United States
    Catholic Health hiring Professional Medical Coding Educator Auditor HCS Job in Buffalo, NY, United States
    Catholic Health
    Buffalo, NY, United States
    Oregon Health & Science University hiring Coding Auditor/Trainer (Coding Coordinator) Job in Portland, Oregon, United States
    Oregon Health & Science University
    Portland, Oregon, United States
    Houston Methodist hiring Coding Quality Auditor Job in Fresno, California, United States
    Houston Methodist
    Fresno, California, United States
    University of Maryland Medical System hiring CODING COMPLIANCE AUDITOR Job in Baltimore, Maryland, United States
    University of Maryland Medical System
    Baltimore, Maryland, United States
    UF Health Jacksonville hiring Coding Quality Auditor Job in Jacksonville, Florida, United States
    UF Health Jacksonville
    Jacksonville, Florida, United States
    Elevance Health hiring DRG Coding Auditor Job in Richmond, Virginia, United States
    Elevance Health
    Richmond, Virginia, United States
    CoxHealth hiring Inpatient Coding Auditor Job in Springfield, Missouri, United States
    CoxHealth
    Springfield, Missouri, United States
    Elevance Health hiring DRG Coding Auditor Job in Denver, Colorado, United States
    Elevance Health
    Denver, Colorado, United States
    Cedar Park Group hiring Outpatient Coding Auditor Job in Buffalo, New York, United States
    Cedar Park Group
    Buffalo, New York, United States
    Elevance Health hiring DRG Coding Auditor Job in Norfolk, Virginia, United States
    Elevance Health
    Norfolk, Virginia, United States
    ModMed hiring Medical Coding Auditor Job in Boca Raton, Florida, United States
    ModMed
    Boca Raton, Florida, United States
    Dayton Children’s hiring Internal Coding Auditor Job in ohio, work from home, Ohio, United States
    Dayton Children’s
    ohio, work from home, Ohio, United States
    Northwell Health hiring Coding Auditor (Inpatient) Job in Lake Success, NY, United States
    Northwell Health
    Lake Success, NY, United States
    MedKoder hiring Physician Coding Auditor Job in Mandeville, LA, United States
    MedKoder
    Mandeville, LA, United States
    Houston Methodist hiring Coding Quality Auditor Job in , FL, United States
    Houston Methodist
    , FL, United States
    Houston Methodist hiring Coding Quality Auditor Job in Houston, TX, United States
    Houston Methodist
    Houston, TX, United States
    Houston Methodist hiring Coding Quality Auditor Job in , LA, United States
    Houston Methodist
    , LA, United States
    Houston Methodist hiring Coding Quality Auditor Job in , GA, United States
    Houston Methodist
    , GA, United States
    Houston Methodist hiring Coding Quality Auditor Job in , WA, United States
    Houston Methodist
    , WA, United States
    Houston Methodist hiring Coding Quality Auditor Job in , GA, United States
    Houston Methodist
    , GA, United States
    Houston Methodist hiring Coding Quality Auditor Job in , FL, United States
    Houston Methodist
    , FL, United States
    Houston Methodist hiring Coding Quality Auditor Job in , TN, United States
    Houston Methodist
    , TN, United States
    Houston Methodist hiring Coding Quality Auditor Job in , WA, United States
    Houston Methodist
    , WA, United States
    Sharp HealthCare hiring Compliance Coding Auditor Job in San Diego, CA, United States
    Sharp HealthCare
    San Diego, CA, United States
    Houston Methodist hiring Coding Quality Auditor Job in , TN, United States
    Houston Methodist
    , TN, United States

    Unlock Your Professional Coding Potential: Insight & Career Growth Guide


    Real-time Professional Coding Jobs Trends (Graphical Representation)

    Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph here. Uncover the dynamic job market trends for Professional Coding in Knoxville, United States, highlighting market share and opportunities for professionals in Professional Coding roles.

    24689 Jobs in United States
    24689
    38 Jobs in Knoxville
    38
    Download Professional Coding Jobs Trends in Knoxville and United States

    Are You Looking for Professional Coding Auditor/Consultant Job?

    Great news! is currently hiring and seeking a Professional Coding Auditor/Consultant to join their team. Feel free to download the job details.

    Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    The Work Culture

    An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at PYA adheres to the cultural norms as outlined by Expertini.

    The fundamental ethical values are:

    1. Independence

    2. Loyalty

    3. Impartiapty

    4. Integrity

    5. Accountabipty

    6. Respect for human rights

    7. Obeying United States laws and regulations

    What Is the Average Salary Range for Professional Coding Auditor/Consultant Positions?

    The average salary range for a varies, but the pay scale is rated "Standard" in Knoxville. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    What Are the Key Qualifications for Professional Coding Auditor/Consultant?

    Key qualifications for Professional Coding Auditor/Consultant typically include Financial Specialists and a list of qualifications and expertise as mentioned in the job specification. The generic skills are mostly outlined by the . Be sure to check the specific job listing for detailed requirements and qualifications.

    How Can I Improve My Chances of Getting Hired for Professional Coding Auditor/Consultant?

    To improve your chances of getting hired for Professional Coding Auditor/Consultant, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    Interview Tips for Professional Coding Auditor/Consultant Job Success

    PYA interview tips for Professional Coding Auditor/Consultant

    Here are some tips to help you prepare for and ace your Professional Coding Auditor/Consultant job interview:

    Before the Interview:

    Research: Learn about the PYA's mission, values, products, and the specific job requirements and get further information about

    Other Openings

    Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.

    Dress Professionally: Choose attire appropriate for the company culture.

    Prepare Questions: Show your interest by having thoughtful questions for the interviewer.

    Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.

    During the Interview:

    Be Punctual: Arrive on time to demonstrate professionalism and respect.

    Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.

    Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.

    Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.

    Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.

    Follow Up: Send a thank-you email to the interviewer within 24 hours.

    Additional Tips:

    Be Yourself: Let your personality shine through while maintaining professionalism.

    Be Honest: Don't exaggerate your skills or experience.

    Be Positive: Focus on your strengths and accomplishments.

    Body Language: Maintain good posture, avoid fidgeting, and make eye contact.

    Turn Off Phone: Avoid distractions during the interview.

    Final Thought:

    To prepare for your Professional Coding Auditor/Consultant interview at PYA, research the company, understand the job requirements, and practice common interview questions.

    Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the PYA's products or services and be prepared to discuss how you can contribute to their success.

    By following these tips, you can increase your chances of making a positive impression and landing the job!

    How to Set Up Job Alerts for Professional Coding Auditor/Consultant Positions

    Setting up job alerts for Professional Coding Auditor/Consultant is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!