Hospital Coding Quality Integrity Analyst - Inpatient

Advocate Aurora Health; United States; À distance; USD 49 000 - 73 000; Plein temps

Résumé du poste

Advocate Aurora Health is seeking a senior-level hospital coding professional to support accurate and compliant inpatient and outpatient coding practices. You will apply ICD, CPT, and HCPCS guidelines while collaborating with payer and regulatory teams.

The role emphasizes developing coding guidance, conducting quality audits, and improving documentation across enterprise systems. AHIMA or AAPC credentials are required, with flexibility for remote work within approved states.

Qualifications

• Associate degree or equivalent education is required.
• Coding credentials required (AHIMA or AAPC such as RHIA/RHIT/CCS/CCS-P/CPC).
• 5 years of expert-level professional coding or hospital-based coding experience.
• Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
• Experience with revenue cycle processes and medical record auditing.

Responsabilités

• 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.

Connaissances

ICD coding

CPT coding

HCPCS coding

EHR systems

Formation

Associate degree or equivalent education

Outils

Microsoft Office

EHR systems

Description du poste

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:

• 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 credentialsrequired. 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 supportaccurateand 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,maintainingrecords, and verifying documentation completeness and accuracy. Track audit findings, quality issues, and compliance risks, documentingpatternsand supporting corrective actions.
• Analyze coding quality data and audit results toidentifytrends, 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 experiencerequired.

Certification / Registration / License

• Coding credentialsrequired. 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

• 5years 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 toidentifycoding 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 CodingDepartmentteam 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 senseof ethics.
• Experience with remote