Facility Coding Quality Integrity Analyst - Inpatient

Advocate Health; Lincoln (NE); Hybrid; USD 49,000 - 73,000; Full time

Benefits offered by this job

Health benefits

Dental coverage

Vision coverage

Employer 401(k) match

Educational assistance

Paid time off

Job summary

Advocate Health in Lincoln, NE is seeking an experienced Professional and Hospital Coding Quality Specialist to ensure accurate, compliant coding across audits and payer requirements. You will develop guidance, maintain standards, and support enterprise-wide quality initiatives.

The role requires AHIMA or AAPC credentials and 5 years of expert coding or hospital-based auditing. Collaboration with Integrity Operations and education teams is essential; remote work may be approved in listed states;

Qualifications

• 5 years of expert-level professional or hospital-based coding experience.
• AHIMA or AAPC certification required (RHIA/RHIT/CCS/CCS-P/CPC).
• Experience with revenue cycle processes and medical record auditing.

Responsibilities

• Research, interpret and apply coding, payer, and regulatory requirements for professional and hospital coding.
• Develop and update coding guidance and reference materials for enterprise consistency.
• Coordinate and support coding quality audits and document audit results.
• Track audit findings and compliance risks; support corrective actions.
• Analyze coding quality data to identify trends and improvement opportunities.
• Prepare leadership-ready summaries and reports for audits and quality initiatives.
• Partner with Integrity Operations and clinicians to improve documentation quality.
• Support regulatory, compliance and quality projects; ensure AHIMA coding standards.

Skills

ICD/CPT/HCPCS

Auditing

Regulatory compliance

Analytical reporting

Education

Associate degree

Tools

Microsoft Office

EHR systems

Remote collaboration tools

Job description

Department:

13244 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Quality

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

• Desired Experience:Facility/Hospital Based Inpatient Coding experienceWill Support:Individual Coder Audits
• Schedule: Monday - Friday Flexible 1st shift / 40 hours a week
• Certification desired: 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.
• Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY
• Pay Range: $35.50 - $53.25

Major 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.

Minimum Job Requirements

Education

Associate degree or equivalent education and experience required.

Certification / Registration / License

Coding credentials required. Certification from American Health Information Management Association (AHIMA) orAmerican Academy of Professional Coders (AAPC) such as RHIA or RHIT or CCS, or CCS-P, or CPC.

Experience

5 years of experience in expert-level professional coding or hospital-based coding and experience in revenue cycle processes, health information workflows, and medical record auditing experience.

Knowledge / Skills / Abilities

• 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.
• Ability to meet deadlines while working in a fast-paced environment.
• Strong sense of ethics.
• Experience with remote workforce operations required.

Preferred Job Requirements

• Preferred Certification / Registration / License
• Second Specialty credential preferred.

Our Commitment to You:

• Compensation 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
• Benefits and more 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

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.)

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.