Hospital Coding Quality Integrity Analyst – Inpatient

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

📋 Description

• Conduct research, analyze, and apply coding, payer, and regulatory guidelines.

• 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.

• Organize and facilitate coding quality audits.

• Manage audit requests, keep records, and confirm the completeness and accuracy of documentation.

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

• Record trends and assist in implementing corrective measures.

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

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

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

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

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

• Aid in testing, reporting validation, and workflow adjustments associated with coding quality and compliance initiatives.

⛳️ 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 essential.

• 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 necessary.

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

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

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

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

• Exceptional organization, communication, analytical, prioritization, reading comprehension, and attention to detail skills are needed.

• Strong capability to train others verbally or in writing.

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

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

• Ability to work collaboratively with physicians, clinicians, coding department personnel, and leadership.

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

• Competence in meeting deadlines in a dynamic environment.

• Initiative and collaborative spirit are crucial.

• A strong ethical foundation is essential.

• Experience with remote workforce operations is required.

• Ability to operate necessary equipment.

• This position entails travel and may involve exposure to road and weather hazards.

🏝️ Benefits

• Comprehensive Total Rewards benefits and well-being programs.

• Competitive salary.

• Generous retirement plans.

• Opportunities for career development.

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

• Incentive pay for specific positions.

• Potential for annual performance-based salary increases.

• Paid Time Off programs.

• Medical, dental, vision, life, and both short- and long-term disability benefits.

• Flexible Spending Accounts for eligible healthcare and dependent care costs.

• Adoption assistance.

• Paid parental leave.

• Defined contribution retirement plans with employer matching.

• Financial wellness programs.

• Educational Assistance Program.