Remote Coding Quality & Compliance Analyst

Aurora Health Care; Allenton (WI); On-site; USD 70,000 - 100,000; Full time

Job summary

Aurora Health Care is seeking a seasoned coding quality professional to interpret and apply professional and hospital coding requirements, develop guidance, and support audits across the enterprise. The role emphasizes data-driven improvement, collaboration with clinicians, and adherence to AHIMA and AAPC certifications.

Ideal candidates will have 5+ years in expert-level coding, strong knowledge of ICD/CPT/HCPCS, and experience with EHR systems and remote workforce operations.

Qualifications

• Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
• Advanced knowledge of medical terminology, anatomy, and physiology.
• Advanced ability to identify coding quality issues and provide recommendations.
• Advanced ability to analyze trends and data and display them in a statistical reporting format.

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.
• 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.

Skills

ICD CPT HCPCS knowledge

Data analysis & reporting

Documentation & training

Microsoft Office & EHR systems

Communication (oral & written)

Independent judgment

Education

Associate degree or equivalent

Tools

EHR systems

Office software

Job description

Aurora Health Care is seeking a seasoned coding quality professional to interpret and apply professional and hospital coding requirements, develop guidance, and support audits across the enterprise. The role emphasizes data-driven improvement, collaboration with clinicians, and adherence to AHIMA and AAPC certifications.

Ideal candidates will have 5+ years in expert-level coding, strong knowledge of ICD/CPT/HCPCS, and experience with EHR systems and remote workforce operations.