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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, including ICD, CPT, and HCPCS, along with expertise in medical terminology and anatomy. Proven ability to analyze coding quality data, support compliance initiatives, and collaborate effectively with healthcare professionals.
Highest-signal resume keywords
Coding Credentials5 Years Of Expert-Level Professional Coding ExperienceAdvanced Knowledge Of ICD, CPT, And HCPCS Coding GuidelinesCertification From AHIMA Or AAPCExperience In Revenue Cycle Processes
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Professional CodingMedical Record AuditingCoding Quality AnalysisStatistical ReportingCoding Guidance DevelopmentRegulatory Compliance SupportQuality Improvement InitiativesDocumentation VerificationAudit CoordinationTrend Analysis
Soft Skills
Advanced Communication SkillsAnalytical SkillsAttention To DetailOrganizational SkillsCollaboration
Tools & Technologies
Microsoft OfficeElectronic Coding SystemsEHR SystemsVideo Conferencing ToolsWeb Conferencing Tools
Certifications & Qualifications
RHIARHITCCSCCS-PCPC
Industry Keywords
Coding PracticesPayer RequirementsRegulatory RequirementsQuality AuditsHealth Information Workflows
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
- Route audit requests, maintain records, and verify 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 about coding guidance, quality findings, and audit outcomes
- Support testing, reporting validation, and workflow updates related to coding quality and compliance initiatives
Requirements
What you’ll need- Associate degree or equivalent education and experience required
- Coding credentials required
- Certification from AHIMA or AAPC, such as RHIA, RHIT, CCS, CCS-P, or CPC
- 5 years of experience in expert-level professional coding or 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, communication, analytical, prioritization, reading comprehension, and attention-to-detail skills
- Advanced ability to train others orally or in writing
- Advanced knowledge of Microsoft Office, video and web conferencing, email, electronic coding systems, 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
- Position requires travel, including exposure to road and weather hazards
Benefits
Comp & perks- Comprehensive Total Rewards benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Career development 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
- Paid parental leave
- Defined contribution retirement plans with employer match
- Financial wellness programs
- Educational Assistance Program