Remote Facility Coding Quality & Compliance Analyst

Advocate Health; Santa Fe (NM); À distance; USD 75 000 - 110 000; Plein temps

Avantages offerts par ce poste

Health benefits through Advocate

Flexible scheduling

Career development programs

Career development programs

Résumé du poste

Advocate Health is seeking a Facility/Hospital Based Inpatient Coding professional for Enterprise Revenue Cycle - Integrity Operations. This full-time role offers a remote opportunity with a standard Monday–Friday schedule, 1st shift, and 40 hours per week.

Requires inpatient coding credentials and extensive experience in professional and hospital coding, revenue cycle workflows, and auditing. The role involves developing coding guidance, supporting quality audits, analyzing trends, and

Qualifications

• Coding credentials required.
• 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.
• 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 knowledge of Microsoft Office, video and web conferencing, email, and experience with electronic coding and EHR systems or applications.

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.
• 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.

Connaissances

ICD/CPT/HCPCS knowledge

Remote workforce experience

Auditing and data analysis

Communication with clinicians

Problem solving

Outils

Microsoft Office

EHR systems

Description du poste

Advocate Health is seeking a Facility/Hospital Based Inpatient Coding professional for Enterprise Revenue Cycle - Integrity Operations. This full-time role offers a remote opportunity with a standard Monday–Friday schedule, 1st shift, and 40 hours per week.

Requires inpatient coding credentials and extensive experience in professional and hospital coding, revenue cycle workflows, and auditing. The role involves developing coding guidance, supporting quality audits, analyzing trends, and