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Hospital Coding Quality Integrity Analyst – Outpatient
Advocate Aurora Health. Research, interpret, and apply coding, payer, and regulatory requirements to support accurate and compliant professional and hospital coding practices .
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, alongside expertise in hospital-based outpatient coding and revenue cycle processes. Capable of analyzing coding quality data, supporting compliance initiatives, and collaborating effectively with healthcare professionals to enhance documentation quality.
Highest-signal resume keywords
AHIMA Coding CredentialsExpert-Level Hospital-Based Outpatient CodingAdvanced Knowledge of ICD, CPT, and HCPCSExperience in Revenue Cycle ProcessesAdvanced Knowledge of Microsoft Office
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding GuidelinesMedical Record AuditingData AnalysisStatistical ReportingCoding Quality Issues IdentificationDocumentation Quality ImprovementElectronic Coding SystemsEHR SystemsMedical TerminologyAnatomy and Physiology
Soft Skills
Communication SkillsOrganizational SkillsAnalytical SkillsDetail-OrientedCollaboration
Tools & Technologies
Microsoft OfficeVideo ConferencingWeb ConferencingEmail SystemsElectronic Coding Systems
Certifications & Qualifications
RHIARHITCCSCCS-PCPC
Industry Keywords
Coding PracticesComplianceQuality AuditsHealthcare DocumentationRevenue Cycle Management
About the role
Key responsibilities & impact- Research, interpret, and apply coding, payer, and regulatory requirements to 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, documenting patterns and supporting 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 to improve documentation quality and coding accuracy
- Support regulatory, compliance, and quality-related projects in accordance with organizational policies and AHIMA coding standards
- Respond to internal inquiries about 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 from AHIMA or AAPC, such as RHIA, RHIT, CCS, CCS-P, or CPC
- 5 years of experience in expert-level hospital-based outpatient 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 recommendations
- Advanced ability to analyze trends and data and display them in statistical reporting format
- Advanced organization, communication, prioritization, reading comprehension, analytical, and detail-oriented skills
- Advanced ability to train others through oral or written methods
- 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
- Position requires travel, with exposure to road and weather hazards
Benefits
Comp & perks- Full-time benefits eligibility
- 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
- Other financial wellness programs
- Educational Assistance Program
- Premium pay such as shift and on-call pay based on teammate eligibility
- Incentive pay for select positions
- Opportunity for annual performance-based increases
- Flexible 1st-shift schedule, Monday–Friday
- Remote work opportunity in approved registered states