Remote Hospital Coding Quality & Compliance Analyst

Advocate Health

United States

Remote

USD 49,000 - 73,000

Full time

10 days ago

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Benefits offered by this job

Health benefits
Education assistance
Retirement plans
Paid Time Off

Job summary

Advocate Health is seeking a seasoned Hospital-Based Outpatient Coder to join our Integrity Operations team. This role focuses on accurate professional and hospital coding, ensuring regulatory compliance and enterprise-wide consistency across documentation and coding guidance.

You will partner with coding leadership and clinicians to improve documentation quality, support audits, and drive continuous improvement in revenue cycle processes.

Qualifications

  • 5 years of expert-level hospital-based outpatient coding experience.
  • Advanced knowledge of ICD, CPT, HCPCS coding guidelines.
  • Experience with revenue cycle processes, health information workflows, and medical record auditing.

Responsibilities

  • Research, interpret, and apply coding, payer, and regulatory requirements for accurate professional and hospital coding.
  • Develop and update coding guidance, reference materials, and position statements for enterprise consistency.
  • Coordinate and support coding quality audits, track findings, and support corrective actions.
  • Analyze coding quality data and audit results to identify trends and improvement opportunities.
  • Prepare summaries and reports for leadership, audits, and quality initiatives.
  • Collaborate with Integrity Operations, coding leadership, clinicians, and education teams to improve documentation and coding accuracy.
  • Support regulatory, compliance, and quality projects in line with AHIMA standards.
  • Respond to internal inquiries related to coding guidance and audit outcomes.
  • Assist with testing, reporting validation, and workflow updates related to coding quality.

Skills

Outpatient coding
ICD/CPT/HCPCS knowledge
Regulatory compliance
Remote work experience
Attention to detail

Education

Associate degree or equivalent

Tools

EHR systems
Microsoft Office

Job description

Advocate Health is seeking a seasoned Hospital-Based Outpatient Coder to join our Integrity Operations team. This role focuses on accurate professional and hospital coding, ensuring regulatory compliance and enterprise-wide consistency across documentation and coding guidance.

You will partner with coding leadership and clinicians to improve documentation quality, support audits, and drive continuous improvement in revenue cycle processes.

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