Hospital Coding Quality Integrity Analyst – Outpatient

This is a fully remote position, open to applicants in Alabama, +33 more locations.

📋 Description

• Conduct research, interpret, and apply coding, payer, and regulatory guidelines to ensure precise and compliant coding practices for both professional and hospital services.

• Create, sustain, and revise coding instructions, standard operating procedures, reference documents, and position statements.

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

• Monitor audit results, quality concerns, and compliance risks, documenting trends and supporting corrective measures.

• Evaluate coding quality metrics and audit findings to uncover trends, risks, and potential areas for enhancement.

• Compile summaries, reports, and materials for leadership, audit evaluations, and quality improvement efforts.

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

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

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

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

⛳️ Requirements

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

• Coding credentials from AHIMA or AAPC are mandatory, such as RHIA, RHIT, CCS, CCS-P, or CPC.

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

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

• In-depth knowledge of ICD, CPT, and HCPCS coding guidelines is required.

• Comprehensive understanding of medical terminology, anatomy, and physiology is necessary.

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

• Skilled in analyzing trends and data, presenting them in a statistical reporting format.

• Exceptional organizational, communication, prioritization, reading comprehension, analytical, and attention to detail skills are required.

• Ability to train others through both oral and written communication methods.

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

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

• Ability to work collaboratively with physicians, clinicians, coding team members, and leadership.

• Capability to work independently and exercise sound judgment and decision-making.

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

• Initiative and collaborative work skills are highly valued.

• A strong ethical foundation is essential.

• Experience with remote workforce operations is required.

• The position necessitates travel, with potential exposure to road and weather hazards.

🏝️ Benefits

• Eligibility for full-time benefits.

• Paid Time Off programs.

• Medical, dental, vision, life insurance, 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.

• Premium pay opportunities such as shift and on-call pay based on teammate eligibility.

• Incentive pay for certain positions.

• Potential for annual performance-based salary increases.

• Flexible 1st-shift schedule, Monday through Friday.

• Remote work opportunities available in approved registered states.