Remote Facility Coding Quality and Integrity Analyst

Advocate Health; Texas; Remote; USD 85,000 - 115,000; Full time

Job summary

Advocate Health seeks an experienced Facility/Inpatient Coding Quality specialist to support enterprise coding quality and compliance. This remote role focuses on interpreting coding requirements for both professional and hospital coding, developing guidance, and coordinating quality audits across a large health system.

Ideal candidates will have 5+ years in expert-level coding, advanced ICD/CPT/HCPCS knowledge, and strong data analysis skills. Travel may be required.

Qualifications

• 5+ years of expert-level professional coding or hospital-based coding experience.
• 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 improvement recommendations.
• Advanced ability to analyze trends and data and display them in a statistical reporting format.
• Advanced knowledge of Microsoft Office, video and web conferencing, email, and experience with EHR systems or applications.
• Advanced knowledge of care delivery documentation systems and related medical record documents.
• Advanced interpersonal communication skills to collaborate with Physicians, clinicians, and Coding Department leadership.
• Experience with remote workforce operations.

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; track findings and risks.
• 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 projects, ensuring adherence to AHIMA 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 and compliance initiatives.

Skills

Remote workforce operations

Data trend analysis

Interpersonal communication

Auditing support

Education

5+ years professional coding experience in revenue cycle

Tools

Microsoft Office

Video conferencing

EHR systems

Electronic coding software

Job description

Advocate Health seeks an experienced Facility/Inpatient Coding Quality specialist to support enterprise coding quality and compliance. This remote role focuses on interpreting coding requirements for both professional and hospital coding, developing guidance, and coordinating quality audits across a large health system.

Ideal candidates will have 5+ years in expert-level coding, advanced ICD/CPT/HCPCS knowledge, and strong data analysis skills. Travel may be required.