Remote Hospital Coding Quality & Compliance Analyst

Advocate Health; Beryl (WV); Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Remote work option

Job summary

Advocate Health is seeking an experienced Facility/Hospital Based Inpatient Coder for a remote, full-time role. The position emphasizes coding quality, risk mitigation, and collaboration with Integrity Operations to ensure compliant coding practices across professional and hospital coding workflows.

The role requires 5 years of expert-level coding experience, extensive knowledge of ICD, CPT, and HCPCS, and remote-work capabilities.

Qualifications

• Facility/Hospital Based Inpatient Coding experience.
• 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 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.
• Experience with remote workforce operations required.

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

Facility Hospital Coding

Revenue Cycle

Auditing & QA

Data analysis

Remote work experience

Microsoft Office

EHR systems

Tools

ICD coding guidelines

CPT coding guidelines

HCPCS coding guidelines

EHR systems

Microsoft Office

Job description

Advocate Health is seeking an experienced Facility/Hospital Based Inpatient Coder for a remote, full-time role. The position emphasizes coding quality, risk mitigation, and collaboration with Integrity Operations to ensure compliant coding practices across professional and hospital coding workflows.

The role requires 5 years of expert-level coding experience, extensive knowledge of ICD, CPT, and HCPCS, and remote-work capabilities.