Hospital Coding Quality Integrity Analyst - Inpatient

American Addiction Centers•Milwaukee, WI

5d•$36 - $53•Remote

About The Position

The Hospital Coding Quality Integrity Analyst - Inpatient is responsible for ensuring accurate and compliant coding practices within the Enterprise Revenue Cycle - Integrity Operations. This role involves researching and applying coding, payer, and regulatory requirements, developing coding guidance, and supporting coding quality audits. The analyst will analyze coding data to identify trends and risks, prepare reports for leadership, and collaborate with various teams to improve documentation and coding accuracy. The position also supports regulatory and compliance projects and responds to internal inquiries regarding coding guidance and audit outcomes. Additionally, the role involves supporting testing and workflow updates related to coding quality initiatives.

Requirements

Associate degree or equivalent education and experience required.
Coding credentials required. Certification from American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) such as RHIA or RHIT or CCS, or CCS-P, or CPC.
5 years of experience in expert-level hospital-based coding and experience in revenue cycle processes, health information workflows, and medical record auditing experience.
Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
Advanced knowledge of medical terminology, anatomy, and physiology.
Advanced ability to identify coding quality issues/concerns and provide recommendations for improvement.
Advanced ability to analyze trends and data and display them in a statistical reporting format.
Advanced organization and communication (verbal and written) skills.
Advanced ability to effectively train others through oral and/or written methods.
Advanced organization, prioritization, and reading comprehension skills.
Advanced analytical skills, with high attention to detail.
Advanced knowledge of Microsoft Office, video and web conferencing, email, and experience with electronic coding and EHR systems or applications.
Advanced knowledge of care delivery documentation systems and related medical record documents.
Advanced interpersonal communication skills (oral and written) necessary to collaborate with Physicians, other clinicians, and Professional Coding Department team members and leadership.
Ability to work independently and exercise independent judgment and decision-making.
Ability to meet deadlines while working in a fast-paced environment.
Ability to take initiative and work collaboratively with others.
Strong sense of ethics.
Experience with remote workforce operations required.

Nice To Haves

Second Specialty credential preferred.

Responsibilities

Research, interpret, and apply coding, payer, and regulatory requirements to support accurate and compliant Professional and Hospital coding practices.
Develop, maintain, and update coding guidance, standard work, reference materials, and position statements to ensure enterprise consistency.
Coordinate and support coding quality audits by routing requests, maintaining records, and verifying documentation completeness and accuracy.
Track audit findings, quality issues, and compliance risks, documenting patterns and supporting corrective actions.
Analyze coding quality data and audit results to identify trends, risks, and opportunities for improvement.
Prepare summaries, reports, and materials for leadership, audit reviews, and quality improvement initiatives.
Partner with Integrity Operations, coding leadership, clinicians, and education teams to improve documentation quality and coding accuracy.
Support regulatory, compliance, and quality-related projects, ensuring adherence to organizational policies and AHIMA coding standards.
Respond to internal inquiries related to coding guidance, quality findings, and audit outcomes.
Support testing, reporting validation, and workflow updates related to coding quality, guidance, and compliance initiatives.

Benefits

Comprehensive suite of Total Rewards: benefits and well-being programs
Competitive compensation
Generous retirement offerings
Programs that invest in your career development
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program