Remote Hospital Coding Quality Audit Analyst

Advocate Health; Ohio; Remote; USD 49,000 - 73,000; Full time

Benefits offered by this job

Paid Time Off

Health benefits

Job summary

Advocate Health is seeking an experienced Professional and Hospital Coding Quality Specialist to join our Enterprise Revenue Cycle—Integrity Operations team. This role focuses on accurate coding, auditing, and compliance across inpatient and professional coding practices.

Responsibilities include maintaining coding guidance, supporting audits, analyzing quality data, and collaborating with clinicians and coding leadership to improve documentation quality.

Qualifications

• 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.

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.
• 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

Inpatient coding

CPT/HCPCS ICD

AHIMA certs

Experience 5 years

EHR systems

Education

Associate degree or equivalent

Job description

Advocate Health is seeking an experienced Professional and Hospital Coding Quality Specialist to join our Enterprise Revenue Cycle—Integrity Operations team. This role focuses on accurate coding, auditing, and compliance across inpatient and professional coding practices.

Responsibilities include maintaining coding guidance, supporting audits, analyzing quality data, and collaborating with clinicians and coding leadership to improve documentation quality.