Hospital 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 precise and compliant coding practices for both professional and hospital settings.

• Create, maintain, and revise coding guidance, standard procedures, reference materials, and position statements to ensure consistency across the enterprise.

• Facilitate and assist with 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.

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

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

• Collaborate with Integrity Operations, coding leadership, healthcare professionals, and educational teams to enhance the quality of documentation and coding precision.

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

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

• Aid in testing, report validation, and workflow enhancements concerning coding quality, guidance, and compliance initiatives.

⛳️ Requirements

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

• Coding credentials are necessary: AHIMA or AAPC certification such as RHIA, RHIT, CCS, CCS-P, or CPC.

• A minimum of 5 years of experience in expert-level hospital-based coding.

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

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

• Proficient in medical terminology, anatomy, and physiology.

• Strong capability to identify coding quality issues and suggest enhancements.

• Proficient in analyzing trends and data and presenting them in a statistical format.

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

• Advanced capability to train others, both orally and in writing.

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

• Advanced understanding of care delivery documentation systems and associated medical record documents.

• Ability to work autonomously and exercise independent judgment and decision-making.

• Capacity to meet deadlines in a fast-paced environment.

• Ability to take initiative and collaborate effectively.

• Strong ethical standards.

• Experience with remote workforce operations is required.

• Position involves travel, with potential exposure to road and weather hazards.

• A second specialty credential is preferred.

🏝️ Benefits

• Comprehensive Total Rewards benefits and well-being initiatives.

• Premium compensation including shift and on-call pay.

• Incentive pay available for select positions.

• Opportunity 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 eligible healthcare and dependent care expenses.

• Adoption assistance and paid parental leave.

• Defined contribution retirement plans with employer matching.

• Additional financial wellness programs.

• Educational Assistance Program.

• Remote work opportunity for approved registered states.