Remote Hospital Coding Quality & Compliance Analyst

Advocate Health; Wisconsin; A distancia; USD 70.000 - 110.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health benefits

Retirement plan

Flexible spending accounts

Annual increases

Descripción de la vacante

Advocate Health is seeking an experienced Facility Coding Quality professional for a remote opportunity in Revenue Cycle Integrity Operations. The role focuses on inpatient coding for hospital-based records while aligning with risk mitigation and regulatory requirements.

Responsibilities include developing coding guidance, conducting quality audits, and interpreting data to drive improvements. Strong communication with clinicians and leadership is essential, with travel for on-site work as

Formación

• 5 years of experience in expert-level professional coding or hospital-based coding
• 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 improvement recommendations
• Advanced ability to analyze trends and data and present them in a statistical format
• Experience with remote workforce operations

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.
• 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.

Conocimientos

Inpatient Coding

Remote work readiness

Educación

Inpatient Coding Credentials

Herramientas

EHR systems

Microsoft Office

Descripción del empleo

Advocate Health is seeking an experienced Facility Coding Quality professional for a remote opportunity in Revenue Cycle Integrity Operations. The role focuses on inpatient coding for hospital-based records while aligning with risk mitigation and regulatory requirements.

Responsibilities include developing coding guidance, conducting quality audits, and interpreting data to drive improvements. Strong communication with clinicians and leadership is essential, with travel for on-site work as