Facility Coding Quality Integrity Analyst – Inpatient

This is a fully remote position, open to applicants in Alabama, +32 more states.

📋 Description

• Conduct research, interpret, and implement coding, payer, and regulatory standards.

• Create, manage, and revise coding guidelines, standard operating procedures, reference materials, and position statements.

• Facilitate and assist with coding quality audits.

• Process audit requests, maintain documentation, and ensure the accuracy and completeness of records.

• Monitor audit results, quality concerns, and compliance risks.

• Record patterns and assist in implementing corrective measures.

• Evaluate coding quality data and audit findings to uncover trends, risks, and opportunities for improvement.

• Generate summaries, reports, and materials for leadership, audit assessments, and quality enhancement initiatives.

• Collaborate with Integrity Operations, coding leadership, healthcare providers, and education teams.

• Assist with regulatory, compliance, and quality-related projects.

• Address internal inquiries regarding coding guidelines, quality findings, and audit results.

• Aid in testing, reporting validation, and updates to workflows.

• Support individual coder audits.

⛳️ Requirements

• An associate degree or equivalent education and experience is required.

• Coding credentials are mandatory.

• Certification from AHIMA or AAPC, such as RHIA, RHIT, CCS, CCS-P, or CPC, is necessary.

• A minimum of 5 years of experience in expert-level professional coding or hospital-based coding is required.

• Familiarity with revenue cycle processes, health information workflows, and medical record auditing is essential.

• Advanced understanding of ICD, CPT, and HCPCS coding guidelines is necessary.

• In-depth knowledge of medical terminology, anatomy, and physiology is required.

• Proficient in identifying coding quality issues and providing actionable recommendations.

• Strong ability to analyze trends and data, presenting them in a statistical reporting format.

• Exceptional organizational, prioritization, reading comprehension, analytical, verbal, and written communication skills are vital.

• Proven capability to train others through both oral and written communication.

• Advanced proficiency in Microsoft Office, video and web conferencing tools, email, electronic coding, and EHR systems or applications.

• Comprehensive understanding of care delivery documentation systems and medical record documents is necessary.

• Ability to collaborate effectively with physicians, clinicians, coding department team members, and leadership.

• Capacity to work independently while exercising sound judgment and decision-making.

• Ability to meet deadlines in a fast-paced environment is crucial.

• Initiative and the ability to work collaboratively are essential.

• Strong ethical standards are required.

• Experience with remote workforce operations is necessary.

• Willingness to 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 options such as shift and on-call pay.

• Incentive pay available for select positions.

• Potential for annual performance-based salary increases.

• Paid Time Off programs.

• Medical, dental, vision, life, and Short- and Long-Term Disability benefits.

• Flexible Spending Accounts for qualifying healthcare and dependent care expenses.

• Adoption assistance.

• Paid parental leave.

• Defined contribution retirement plans with employer matching.

• Additional financial wellness programs.

• Educational Assistance Program.