Hospital Coding Quality Integrity Analyst - Inpatient

Carolinas Medical Center; United States; Remote; USD 50,000 - 73,000; Full time

Benefits offered by this job

Remote work options

Travel opportunities

Job summary

Carolinas Medical Center seeks an experienced Facility/Hospital-Based Medical Coder to support coding quality audits, develop guidance, and ensure compliance with AHIMA and AHIMA standards across professional and hospital coding practices.

You will analyze coding quality data, prepare leadership reports, and collaborate with clinicians and education teams to improve documentation accuracy. Travel and remote-work options may be available as needed.

Qualifications

• 5 years of expert-level professional coding or hospital-based coding experience.
• Coding credentials required (AHIMA or AAPC such as RHIA/RHIT/CCS/CCS-P/CPC).
• Associate degree or equivalent education required.

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.
• 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 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.

Skills

ICD CPT HCPCS knowledge

Auditing quality

Data trend analysis

Communication skills

Independent judgment

Team collaboration

Remote work experience

Microsoft Office

EHR systems proficiency

Education

Associate degree or equivalent education

Tools

Microsoft Office

Electronic Health Record (EHR) systems

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 experience

Will Support: Reviews a variety of high-risk topics identified through Risk Mitigation activities.

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.


• 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

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.

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Our Commitment to You

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