Remote Facility Coding Quality & Compliance Analyst

Advocate Health; Wyoming (MI); A distancia; USD 49.000 - 73.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health benefits

Education assistance

Retirement plans with employer match

Paid time off

Descripción de la vacante

Advocate Health is seeking an experienced Clinical Coding Quality Specialist to lead and support professional and hospital coding accuracy across enterprise operations. You will interpret payer and regulatory rules, develop coding guidance, and drive audits while maintaining enterprise-wide consistency.

Ideal candidates have AHIMA or AAPC credentials (RHIA/RHIT/CCS/CCS-P/CPC), at least 5 years in professional or hospital coding, and proven ability to work remotely within a large health system.

Formación

• Associate degree or equivalent education and experience required.
• AHIMA or AAPC certification required (RHIA/RHIT/CCS/CCS-P/CPC).
• 5 years of experience in expert-level professional coding or hospital-based coding.
• Experience with revenue cycle processes and medical record auditing.
• Knowledge of ICD, CPT, HCPCS coding guidelines.
• Experience with remote workforce operations.
• Strong analytical and communication skills.
• Proficiency in Microsoft Office and EHR systems.

Responsabilidades

• 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.

Conocimientos

ICD CPT HCPCS knowledge

Medical terminology

Data trend analysis

Documentation systems

EHR systems

Communication skills

Remote workforce experience

Educación

Associate degree or equivalent education

Herramientas

Microsoft Office

EHR systems

Video conferencing

Descripción del empleo

Advocate Health is seeking an experienced Clinical Coding Quality Specialist to lead and support professional and hospital coding accuracy across enterprise operations. You will interpret payer and regulatory rules, develop coding guidance, and drive audits while maintaining enterprise-wide consistency.

Ideal candidates have AHIMA or AAPC credentials (RHIA/RHIT/CCS/CCS-P/CPC), at least 5 years in professional or hospital coding, and proven ability to work remotely within a large health system.