Hospital Coding Quality Integrity Analyst - Inpatient
Department:
13244 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Quality Status:
Full time Benefits Eligible:
Yes Hou rs Per Week:
40 Schedule Details/Additional Information:
Desired Experience:
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Facility/Hospital Based Inpatient Coding experience
Schedule:
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Monday - Friday Flexible 1st shift / 40 hours a week
Certification desired:
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Coding credentials 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.
Remote opportunity:
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Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY
Pay Range:
$35.50 - $53.25 Major Responsibilities
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Research, interpret, and apply coding, payer, and regulatory requirements to supportaccurateand compliant Professional and Hospital coding practices.
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Develop,maintain, and update coding guidance, standard work, reference materials, and position statements to ensure enterprise consistency.
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Coordinate and support coding quality audits by routing requests,maintainingrecords, and verifying documentation completeness and accuracy. Track audit findings, quality issues, and compliance risks, documentingpatternsand supporting corrective actions.
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Analyze coding quality data and audit results toidentifytrends, risks, and opportunities for improvement.
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Prepare summaries, reports, and materials for leadership, audit reviews, and quality improvement initiatives.
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Partner with Integrity Operations, coding leadership, clinicians, and education teams to improve documentation quality and coding accuracy.
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Support regulatory, compliance, and quality-related projects, ensuring adherence to organizational policies and AHIMA coding standards.
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Respond to internal inquiries related to coding guidance, quality findings, and audit outcomes.
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Support testing, reporting validation, and workflow updates related to coding quality, guidance, and compliance initiatives.
Minimum Job Requirements
Education
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Associate degree or equivalent education and experience required.
Certification / Registration / License
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Coding credentials 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.
Experience
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5 years of experience in expert-level hospital-based coding and experience in revenue cycle processes, health information workflows, and medical record auditing experience.
Knowledge / Skills / Abilities
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Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
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Advanced knowledge of medical terminology, anatomy, and physiology.
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Advanced ability toidentifycoding quality issues/concerns and provide recommendations for improvement.
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Advanced ability to analyze trends and data and display them in a statistical reporting format.
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Advanced organization and communication (verbal and written) skills.
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Advanced ability to effectively train others through oral and/or written methods.
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Advanced organization, prioritization, and reading comprehension skills.
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Advanced analytical skills, with high attention to detail.
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Advanced knowledge of Microsoft Office, video and web conferencing, email, and experience with electronic coding and EHR systems or applications.
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Advanced knowledge of care delivery documentation systems and related medical record documents.
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Advanced interpersonal communication skills (oral and written) necessary to collaborate with Physicians, other clinicians, and Professional CodingDepartmentteam members and leadership.
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Ability to work independently and exercise independent judgment and dec