Remote Facility Coding Quality & Compliance Analyst

Advocate Health; Philadelphia (Philadelphia County); Remote; USD 49,000 - 73,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Educational assistance

Retirement plan with employer match

Flexible Spending Accounts

Job summary

Advocate Health seeks an experienced Professional and Hospital Coder to support accurate coding practices and drive quality improvements. You will develop coding guidance, maintain reference materials, and coordinate audits across departments, ensuring compliance with AHIMA standards and regulatory requirements.

The role requires AHIMA/AAPC certifications and 5 years of hospital coding experience, with strong analytical and communication skills.

Qualifications

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

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.

Skills

ICD coding

CPT coding

HCPCS coding

Auditing

Regulatory compliance

Data analysis

Communication skills

Remote-work experience

Education

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

Associate degree or equivalent education and experience

Tools

EHR systems

Microsoft Office

Job description

Advocate Health seeks an experienced Professional and Hospital Coder to support accurate coding practices and drive quality improvements. You will develop coding guidance, maintain reference materials, and coordinate audits across departments, ensuring compliance with AHIMA standards and regulatory requirements.

The role requires AHIMA/AAPC certifications and 5 years of hospital coding experience, with strong analytical and communication skills.