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 apply coding, payer, and regulatory requirements to ensure accurate and compliant practices in professional and hospital coding.

• Create, maintain, and revise coding guidance, standard operating procedures, reference materials, and position statements.

• Coordinate and facilitate coding quality audits by managing requests, keeping records, and confirming the completeness and accuracy of documentation.

• Monitor audit findings, quality concerns, and compliance risks; document trends and assist in implementing corrective measures.

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

• Prepare summaries, reports, and other materials for leadership, audit evaluations, and quality enhancement initiatives.

• Collaborate with Integrity Operations, coding leadership, clinicians, and educational teams to enhance documentation quality and coding precision.

• Assist in regulatory, compliance, and quality-related projects in alignment with organizational policies and AHIMA coding standards.

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

• Aid in testing, reporting validation, and workflow adjustments related to coding quality, guidance, and compliance initiatives.

⛳️ Requirements

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

• Coding credentials such as AHIMA or AAPC certification (e.g., RHIA, RHIT, CCS, CCS-P, or CPC) are mandatory.

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

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

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

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

• Exceptional ability to identify coding quality issues and recommend improvements is crucial.

• Proficiency in analyzing trends and data and presenting them in statistical report formats is mandatory.

• Strong organizational, verbal and written communication, reading comprehension, analytical skills, and attention to detail are required.

• Advanced ability to provide training to others, both orally and in writing, is essential.

• Proficient knowledge of Microsoft Office, video and web conferencing, email, electronic coding, and EHR systems or applications is required.

• Extensive knowledge of care delivery documentation systems and medical record documents is essential.

• Must be capable of working independently and exercising sound judgment and decision-making.

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

• Initiative and the ability to collaborate effectively with others are essential.

• A strong sense of ethics is required.

• Experience with remote workforce operations is mandatory.

• The position requires travel, including potential exposure to road and weather hazards.

🏝️ Benefits

• Comprehensive Total Rewards benefits and well-being programs.

• Competitive compensation package.

• Generous retirement offerings.

• Career development opportunities.

• Premium pay incentives, such as shift and on-call pay.

• Incentive pay for select positions.

• Opportunity for annual performance-based salary increases.

• Paid Time Off programs.

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

• Flexible Spending Accounts available for eligible health care and dependent care expenses.

• Adoption assistance programs.

• Paid parental leave.

• Defined contribution retirement plans with employer matching.

• Financial wellness programs.

• Educational Assistance Program.