Hospital Coding Quality Integrity Analyst - Inpatient

Advocate Health Care; United States; Remote; USD 49,000 - 73,000; Full time

Benefits offered by this job

Benefits eligible

Job summary

Advocate Health Care is seeking an experienced Enterprise Revenue Cycle – Integrity Operations coding professional for a full-time, 40-hour week. The role focuses on accurate professional and hospital coding while ensuring enterprise-wide consistency and regulatory compliance.

You will research coding requirements, develop guidance, audit quality, and partner with clinicians and education teams to improve documentation and coding accuracy.

Qualifications

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

Responsibilities

• Research, interpret, and apply coding, payer, and regulatory requirements.
• Develop and update coding guidance, standard work, and references.
• Coordinate coding quality audits and verify documentation accuracy.
• Track findings and risks; support corrective actions.
• Analyze coding quality data to identify trends and improvements.
• Prepare reports for leadership and quality initiatives.
• Collaborate with Intergrity Operations, clinicians, and education teams.
• Support regulatory, compliance, and AHIMA coding standards.

Skills

ICD/CPT/HCPCS coding

AHIMA/AAPC coding credentials

Regulatory compliance

Attention to detail

Data analysis

Communication (oral/written)

Education

Associate degree or equivalent

AHIMA/AAPC certification (RHIA/RHIT/CCS/CCS-P/CPC)

Tools

EHR systems

Microsoft Office

Video/ web conferencing

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.

Our Commitment to You

• Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
• 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.); please ask a Recruiter for more information during an interview.

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. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care.