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 implement coding, payer, and regulatory standards.

• Ensure accurate and compliant coding practices for both professional and hospital settings.

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

• Oversee and facilitate coding quality audits by managing requests, keeping records, and ensuring documentation is complete and accurate.

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

• Record patterns and assist in implementing corrective measures.

• Analyze coding quality data and audit findings to pinpoint trends, risks, and areas for improvement.

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

• Collaborate with Integrity Operations, coding leadership, clinicians, and educational teams.

• Assist with projects related to regulatory, compliance, and quality matters.

• Address internal questions concerning coding guidance, quality assessments, and audit results.

• Aid in testing, reporting validation, and workflow updates pertinent to coding quality, guidance, and compliance efforts.

⛳️ Requirements

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

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

• A minimum of 5 years of experience in advanced hospital-based coding is required.

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

• Extensive understanding of ICD, CPT, and HCPCS coding guidelines is required.

• Advanced knowledge of medical terminology, anatomy, and physiology is necessary.

• Proven ability to identify coding quality issues and suggest improvement strategies.

• Proficiency in analyzing trends and data, and presenting them in statistical reporting formats.

• Strong organizational, prioritization, reading comprehension, analytical, and communication skills are essential.

• Ability to train others using both oral and written methods is required.

• Advanced skills in Microsoft Office, video and web conferencing, email, electronic coding, and EHR systems or applications are necessary.

• In-depth knowledge of care delivery documentation systems and related medical record documents is required.

• Capability to collaborate effectively with physicians, clinicians, coding department members, and leadership is essential.

• Ability to work independently while exercising sound judgment and decision-making is required.

• Competence to meet deadlines in a fast-paced environment is essential.

• Initiative and ability to work collaboratively are necessary.

• Strong ethical standards are required.

• Experience with remote workforce operations is mandatory.

• Ability to operate necessary equipment is essential.

• Willingness to travel, with awareness of road and weather hazards, is required.

🏝️ Benefits

• Comprehensive Total Rewards benefits and well-being initiatives.

• Premium pay options such as shift and on-call compensation.

• Incentive pay available for select positions.

• Potential for annual performance-based salary increases.

• Paid Time Off (PTO) programs.

• Medical, dental, vision, life insurance, 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.