Facility Coding Quality Integrity Analyst - Inpatient

Carolinas Medical Center; USA; Remote; USD 49.000 - 73.000; Vollzeit

Zusammenfassung

Advocate Health is seeking a skilled Medical Coder for the Facility Coding Quality team. The role focuses on accurate professional and hospital coding, auditing support, and enterprise-wide guidance development.

Ideal candidates have 5+ years of hospital-based coding experience, AHIMA or AAPC credentials, and strong knowledge of ICD/CPT/HCPCS. Remote work may be approved within listed states.

Qualifikationen

• Associate degree or equivalent education and experience required.
• Coding credentials required (AHIMA or AAPC).
• 5 years of expert-level professional or hospital-based coding experience.
• Advanced knowledge of ICD, CPT, HCPCS guidelines.

Aufgaben

• Research, interpret, and apply coding guidelines to support accurate professional and hospital coding.
• Develop and maintain coding guidance and reference materials for enterprise consistency.
• Support coding quality audits and track findings and corrective actions.

Kenntnisse

ICD CPT HCPCS coding

Detail oriented

Analytical skills

Communication skills

Ausbildung

Associate degree or equivalent

Tools

Microsoft Office

EHR systems

Jobbeschreibung

Department:

13244 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Quality

Status:

Full time

Benefits Eligible:

Yes

Hou rs Per Week:

40

Schedule Details/Additional Information:

Desired Experience: Facility/Hospital Based Inpatient Coding experience

Will 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) or American 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.

Physical Requirements and Working Conditions

• Position requires travel which will result in exposure to road and weather hazards.
• Operates the equipment necessary to perform the job.
• Exposed to a normal office environment.

Preferred Job Requirements

Preferred Certification / Registration / License

Second Specialty credential preferred

Disclaimer

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offeri