Facility Coding Quality Integrity Analyst – Inpatient
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Job Description
Facility Coding Quality Integrity Analyst auditing inpatient coding and compliance for Advocate Health, a nonprofit integrated healthcare system. Analyzing trends, supporting audits, and improving documentation accuracy.
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
- 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; document patterns and support 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 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
- Coding credentials required: AHIMA or AAPC certification such as RHIA, RHIT, CCS, CCS-P, or CPC
- 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
- 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 statistical reporting formats
- Advanced organization, verbal and written communication, reading comprehension, analytical, and attention-to-detail skills
- Advanced ability to train others orally or in writing
- 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 judgment and decision-making
- Ability to meet deadlines in a fast-paced environment
- Ability to take initiative and collaborate with others
- Strong sense of ethics
- Experience with remote workforce operations required
- Position requires travel, including exposure to road and weather hazards
Benefits:
- Comprehensive Total Rewards benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Career development programs
- Premium pay such as shift and on-call pay
- Incentive pay for select positions
- Opportunity for annual performance-based increases
- 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
- Paid parental leave
- Defined contribution retirement plans with employer match
- Financial wellness programs
- Educational Assistance Program
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