Hospital Coding Quality Integrity Analyst - Outpatient
About The Position
The Hospital Coding Quality Integrity Analyst supports accurate and compliant professional and hospital coding practices by researching, interpreting, and applying coding, payer, and regulatory requirements. The role develops and maintains enterprise coding guidance and reference materials, supports coding quality audits, tracks findings and risks, and analyzes quality data to identify trends and improvement opportunities. The analyst prepares reports and materials for leadership and quality initiatives, collaborates with Integrity Operations, coding leadership, clinicians, and education teams, and responds to inquiries about coding guidance and audit outcomes. The position also supports regulatory and compliance projects, reporting validation, testing, and workflow updates. It is a full-time, 40-hour-per-week role with a Monday–Friday flexible first-shift schedule. Remote work may be approved for employees in specified registered states.
Requirements
- Associate degree or equivalent education and experience.
- Coding credential from AHIMA or AAPC, such as RHIA, RHIT, CCS, CCS-P, or CPC.
- Five years of expert-level hospital-based outpatient coding experience.
- Experience with revenue cycle processes, health information workflows, and medical record auditing.
- Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
- Advanced knowledge of medical terminology, anatomy, and physiology.
- Ability to identify coding quality issues and recommend improvements.
- Ability to analyze trends and data and present them in a statistical reporting format.
- Advanced verbal and written communication, organization, prioritization, and reading comprehension skills.
- Ability to effectively train others orally and/or in writing.
- Advanced analytical skills and high attention to detail.
- Advanced knowledge of Microsoft Office, video and web conferencing, email, and electronic coding and EHR systems or applications.
- Advanced knowledge of care delivery documentation systems and related medical record documents.
- Interpersonal communication skills to collaborate with physicians, other clinicians, professional coding team members, and leadership.
- Ability to work independently and exercise independent judgment and decision-making.
- Ability to meet deadlines in a fast-paced environment, take initiative, and work collaboratively.
- Strong sense of ethics.
- Experience with remote workforce operations.
- Ability to travel, with exposure to road and weather hazards.
Nice To Haves
- A second specialty credential.
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, document patterns, and support 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
- Paid time off programs.
- Medical, dental, vision, life, and short- and long-term disability benefits.
- Flexible Spending Accounts for eligible health care and dependent care expenses.
- Adoption assistance and paid parental leave.
- Defined contribution retirement plans with employer match and other financial wellness programs.
- Educational Assistance Program.
- Potential premium pay, incentive pay for select positions, and annual performance-based increases.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
