Hospital Coding Quality Integrity Analyst - Inpatient

Advocate Health•Milwaukee, WI
•$36 - $53•Remote

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 reviews a variety of high-risk topics identified through risk mitigation activities and develops, maintains, and updates coding guidance, standard work, reference materials, and position statements to promote enterprise consistency. The analyst coordinates coding quality audits, tracks audit findings and compliance risks, analyzes coding quality data for trends and improvement opportunities, and prepares reports and other materials for leadership and quality initiatives. The role partners with Integrity Operations, coding leadership, clinicians, and education teams; responds to internal coding inquiries; and supports regulatory and compliance projects, testing, reporting validation, and workflow updates. This is a full-time, 40-hour-per-week position scheduled Monday through Friday on a flexible first shift. Remote work may be approved for candidates working from specified registered states. The position requires travel, with exposure to road and weather hazards, and work in a normal office environment.

Requirements

  • Associate degree or equivalent education and experience.
  • Required coding credential from AHIMA or AAPC, such as RHIA, RHIT, CCS, CCS-P, or CPC.
  • Five years of experience in expert-level professional coding or hospital-based coding, including 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.
  • Advanced ability to identify coding quality issues and recommend improvements.
  • Advanced 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.
  • Advanced ability to train others orally and/or in writing.
  • Advanced analytical skills and high attention to detail.
  • Advanced knowledge of Microsoft Office, video and web conferencing, and email, plus experience with 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.
  • Ability to take initiative and work collaboratively.
  • Strong sense of ethics.
  • Experience with remote workforce operations.
  • Willingness 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 for 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.
  • Perform other related duties as required.

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.
  • Competitive compensation, premium pay for select positions, incentive pay for select positions, and potential annual performance-based increases.
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