Integrity Analyst – Facility Coding Quality, 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 Professional and Hospital coding practices.

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

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

• Monitor audit findings, quality issues, and compliance risks, documenting trends and aiding in the implementation of corrective actions.

• Examine coding quality data and audit results to uncover trends, risks, and areas for improvement.

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

• 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, ensuring 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 modifications related to coding quality, guidance, and compliance initiatives.

⛳️ Requirements

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

• Certification from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) such as RHIA, RHIT, CCS, CCS-P, or CPC.

• A minimum of 5 years of experience in expert-level professional coding or hospital-based coding, along with knowledge of revenue cycle processes, health information workflows, and medical record auditing.

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

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

• Strong capability to identify coding quality issues and provide actionable recommendations for improvement.

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

• Excellent organizational and communication skills, both verbal and written.

• Proven ability to effectively train others through oral and written communication.

• Exceptional organizational, prioritization, and reading comprehension skills.

• Strong analytical abilities with a keen attention to detail.

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

• Comprehensive knowledge of care delivery documentation systems and associated medical record documents.

• Strong interpersonal communication skills, both oral and written, essential for collaboration with Physicians, other clinicians, and members of the Professional Coding Department and leadership.

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

• Experience in remote workforce operations is required.

🏝️ Benefits

• Paid Time Off programs

• Health and welfare benefits including medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for qualifying health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and additional financial wellness programs

• Educational Assistance Program