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Hospital Coding Quality Integrity Analyst – Inpatient
Advocate Aurora Health. Research, interpret, and apply coding, payer, and regulatory requirements .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates advanced knowledge of coding guidelines, regulatory requirements, and quality improvement initiatives in hospital-based coding. Proficient in analyzing coding quality data and collaborating with healthcare professionals to enhance compliance and operational efficiency.
Highest-signal resume keywords
AHIMA CertificationAAPC CertificationICD Coding GuidelinesCPT Coding GuidelinesHCPCS Coding Guidelines
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Expert-Level Hospital-Based CodingMedical Record AuditingRevenue Cycle ProcessesStatistical ReportingCoding Quality Analysis
Soft Skills
Advanced Communication SkillsAnalytical SkillsOrganizational SkillsTraining and Mentoring SkillsIndependent Judgment
Tools & Technologies
Microsoft OfficeEHR SystemsElectronic Coding ApplicationsVideo Conferencing ToolsWeb Conferencing Tools
Certifications & Qualifications
RHIARHITCCSCCS-PCPC
Industry Keywords
Coding GuidanceCompliance RisksQuality AuditsCare Delivery DocumentationMedical Terminology
About the role
Key responsibilities & impact- Research, interpret, and apply coding, payer, and regulatory requirements
- Support accurate and compliant professional and hospital coding practices
- Develop, maintain, and update coding guidance, standard work, reference materials, and position statements
- Coordinate and support coding quality audits by routing requests, maintaining records, and verifying documentation completeness and accuracy
- Track audit findings, quality issues, and compliance risks
- Document patterns and support corrective actions
- Analyze coding quality data and audit results to identify trends, risks, and improvement opportunities
- Prepare summaries, reports, and materials for leadership, audit reviews, and quality improvement initiatives
- Partner with Integrity Operations, coding leadership, clinicians, and education teams
- Support regulatory, compliance, and quality-related projects
- Respond to internal inquiries regarding coding guidance, quality findings, and audit outcomes
- Support testing, reporting validation, and workflow updates related to coding quality, guidance, and compliance initiatives
Requirements
What you’ll need- Associate degree or equivalent education and experience required
- Coding credentials required: AHIMA or AAPC certification such as RHIA, RHIT, CCS, CCS-P, or CPC
- 5 years of experience in expert-level hospital-based coding
- Experience in revenue cycle processes, health information workflows, and medical record auditing
- Advanced knowledge of ICD, CPT, and HCPCS coding guidelines
- Advanced knowledge of medical terminology, anatomy, and physiology
- Advanced ability to identify coding quality issues and provide improvement recommendations
- Advanced ability to analyze trends and data and present them in statistical reporting formats
- Advanced organization, prioritization, reading comprehension, analytical, and communication skills
- Advanced ability to train others through oral or written methods
- Advanced knowledge of Microsoft Office, video and web conferencing, email, electronic coding, and EHR systems or applications
- Advanced knowledge of care delivery documentation systems and related medical record documents
- Ability to collaborate with physicians, clinicians, coding department members, and leadership
- Ability to work independently and exercise independent judgment and decision-making
- Ability to meet deadlines in a fast-paced environment
- Ability to take initiative and work collaboratively
- Strong sense of ethics
- Experience with remote workforce operations required
- Ability to operate necessary equipment
- Ability to travel, with exposure to road and weather hazards
Benefits
Comp & perks- Comprehensive Total Rewards benefits and well-being programs
- Premium pay such as shift and on-call pay
- Incentive pay for select positions
- Opportunity for annual performance-based increases
- Paid Time Off programs
- Medical, dental, vision, life, and Short- and Long-Term Disability benefits
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match
- Other financial wellness programs
- Educational Assistance Program