Integrity Analyst - PB Coding Quality Medical Specialties
Summary
Remote Integrity Analyst researches and applies medical coding standards (ICD, CPT, HCPCS) across Professional and Hospital coding, conducts coding quality audits, analyzes trends, and partners with coding leadership and clinicians to improve documentation accuracy and compliance at Advocate Health.
Department:
Status:
Benefits Eligible:
Hours Per Week:
Schedule Details/Additional Information:
Desired Experience:
Medical Specialty and/or Surgical coding experience
E/M Level coding a must.
Schedule:
Full-time remote, first shift, Monday - Friday.
Certification required:
Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA).
Second Specialty credential preferred – Specifically CPMC and CMC
Remote opportunity:
Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY
Pay Range:
$35.50 - $53.25Major Responsibilities
Research, interpret, and apply coding, payer, and regulatory requirements to supportaccurateand compliant Professional and Hospital coding practices.
Develop,maintain, and update coding guidance, standard work, reference materials, and position statements to ensure enterprise consistency.
Coordinate and support coding quality audits by routing requests,maintainingrecords, and verifying documentation completeness and accuracy. Track audit findings, quality issues, and compliance risks, documentingpatternsand supporting corrective actions.
Analyze coding quality data and audit results toidentifytrends, risks, and opportunities for improvement.
Prepare summaries, reports, and materials for leadership, audit reviews, and quality improvement initiatives.
Partner with Integrity Operations, coding leadership, clinicians, and education teams to improve documentation quality and coding accuracy.
Support regulatory, compliance, and quality-related projects, ensuring adherence to organizational policies and AHIMA coding standards.
Respond to internal inquiries related to coding guidance, quality findings, and audit outcomes.
Support testing, reporting validation, and workflow updates related to coding quality, guidance, and compliance initiatives.
Minimum Job Requirements
Education
Associate degree or equivalent education and experience required.
Certification / Registration / License
Coding credentials required. Certification from American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) such as RHIA or RHIT or CCS, or CCS-P, or CPC.
Experience
5 years of experience in expert-level professional coding or hospital-based coding and experience in revenue cycle processes, health information workflows, and medical record auditing experience.
Knowledge / Skills / Abilities
Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
Advanced knowledge of medical terminology, anatomy, and physiology.
Advanced ability toidentifycoding quality issues/concerns and provide recommendations for improvement.
Advanced ability to analyze trends and data and display them in a statistical reporting format.
Advanced organization and communication (verbal and written) skills.
Advanced ability to effectively train others through oral and/or written methods.
Advanced organization, prioritization, and reading comprehension skills.
Advanced analytical skills, with high attention to detail.
Advanced knowledge of Microsoft Office, video and web conferencing, email, and experience with electronic coding and EHR systems or applications.
Advanced knowledge of care delivery documentation systems and related medical record documents.
Advanced interpersonal communication skills (oral and written) necessary to collaborate with Physicians, other clinicians, and Professional CodingDepartmentteam members and leadership.
Ability to work independently and exercise independent judgment and decision-making.
Ability to meet deadlines while working in a fast-paced environment.
Ability to take initiative and work collaboratively with others.
Ability to meet deadlines while working in a fast-paced environment.
Strong senseof ethics.
Experience with remote workforce operationsrequired.
Physical Requirements and Working Conditions
Position requires travel which will result in exposure to road and weather hazards.
Operates the equipment necessary to perform the job.
Exposed to a normal office environment.
Preferred Job Requirements
Preferred Certification / Registration / License
- Second Specialty credential preferred
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
#REMOTE
REMOTE
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.