Integrity Analyst – Facility Coding Quality, Inpatient

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🕒 May 8

🏈 Alabama, Alaska, +31 more states – Remote

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $35 - $53 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Advocate Aurora Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

Healthcare Insurance

Advocate Aurora Health is a leading healthcare organization that operates across various regions including Central Chicagoland, Central Wisconsin, Greater Milwaukee, and more. With a diverse range of career areas such as advanced practice clinicians, behavioral health, nursing, and more, Advocate Aurora Health is committed to helping people live well. The organization offers numerous benefits and opportunities for career advancement, fostering an environment where individuals can thrive and innovate in the healthcare sector. Advocate Aurora Health prioritizes the safety of its candidates and maintains a robust recruitment process to protect sensitive information.

📋 Description

• 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.

🎯 Requirements

• Associate degree or equivalent education and experience required. • Certification from American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) such as RHIA or RHIT or CCS, or CCS-P, or CPC. • 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/concerns and provide recommendations for improvement. • Advanced ability to analyze trends and data and display them in a statistical reporting format. • Advanced organization and communication (verbal and written) skills. • Advanced ability to effectively train others through oral and/or written methods. • Advanced organization, prioritization, and reading comprehension skills. • Advanced analytical skills, with high attention to detail. • Advanced knowledge of Microsoft Office, video and web conferencing, email, and experience with electronic coding and EHR systems or applications. • Advanced knowledge of care delivery documentation systems and related medical record documents. • Advanced interpersonal communication skills (oral and written) necessary to collaborate with Physicians, other clinicians, and Professional Coding Department team members and leadership. • Ability to work independently and exercise independent judgment and decision-making. • Experience with remote workforce operations required.

🏖️ Benefits

• Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program