Integrity Analyst – PB Coding Quality, Medical Specialties

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🔥 0 minutes ago

🏈 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

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

Healthcare • 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 for accurate and compliant professional and hospital coding • Develop, maintain, and update coding guidance, standard work, reference materials, and position statements • 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 improvement opportunities • 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 in accordance with organizational policies and AHIMA coding standards • Respond to internal inquiries about coding guidance, quality findings, and audit outcomes • Support testing, reporting validation, and workflow updates for coding quality, guidance, and compliance initiatives • Travel as required, with exposure to road and weather hazards

🎯 Requirements

• Associate degree or equivalent education and experience required • Coding certification required from AHIMA or AAPC, such as RHIA, RHIT, CCS, CCS-P, or CPC • Second specialty credential preferred, specifically CPMC and CMC • 5 years of experience in expert-level professional coding or hospital-based coding • Experience in revenue cycle processes, health information workflows, and medical record auditing • Medical specialty and/or surgical coding experience • E/M level coding experience required • 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 • Advanced ability to analyze trends and data and present them statistically • Advanced organization, communication, prioritization, reading comprehension, analytical, and training skills • Advanced knowledge of Microsoft Office, video and web conferencing, email, electronic coding, and EHR systems or applications • Advanced knowledge of care delivery documentation systems and medical record documents • Ability to work independently and exercise independent judgment • Ability to meet deadlines in a fast-paced environment • Ability to take initiative and work collaboratively • Strong sense of ethics • Experience with remote workforce operations required • Must be eligible to work remotely from one of the approved registered states: Alabama, Alaska, Arkansas, Arizona, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Louisiana, Kansas, Kentucky, Maine, Michigan, Missouri, Mississippi, Montana, North Carolina, North Dakota, Nebraska, New Hampshire, New Mexico, Nevada, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, West Virginia, or Wyoming

🏖️ Benefits

• Benefits Eligible • Premium pay such as shift, on call, and more based on a teammate's role • Incentive pay for select positions • Opportunity for annual increases based on performance • Paid Time Off programs • Medical, dental, vision, life, and Short- and Long-Term Disability benefits • Flexible Spending Accounts for eligible health care and dependent care expenses • Adoption assistance and paid parental leave • Defined contribution retirement plans with employer match • Other financial wellness programs • Educational Assistance Program • Full-time remote work arrangement • First-shift, Monday–Friday schedule