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Integrity Analyst - Facility Coding Quality  Inpatient

Role overview

Qualifications

  • Associate degree or equivalent education and experience required
  • Certification from AHIMA or AAPC such as RHIA, RHIT, CCS, CCS-P, or CPC required
  • 5 years of experience in expert-level hospital-based Inpatient coding
  • Advanced knowledge of ICD, CPT, and HCPCS coding guidelines

Responsibilities

  • Research, interpret, and apply coding, payer, and regulatory requirements
  • Develop, maintain, and update coding guidance and reference materials
  • Coordinate and support coding quality audits and track audit findings
  • Analyze coding quality data and prepare summaries and reports for leadership

Key facts

Other skills

  • Microsoft Office
  • Communication
  • Social Skills
  • Analytical Skills
  • Time Management

About the company

Atrium Health logo

Atrium Health

Hospitals & Health Care

Atrium Health is a nationally recognized leader in shaping health outcomes through innovative research, education and compassionate patient care. Based in Charlotte, North Carolina, Atrium Health is proud to be a part of Advocate Health, the third-largest nonprofit health system, serving nearly 6 million patients across six states. It provides care under the Atrium Health Wake Forest Baptist name in the Winston-Salem, North Carolina, region, as well as Atrium Health Navicent and Atrium Health Floyd in Georgia and Alabama. Atrium Health is renowned for its top-ranked pediatric, cancer and heart care, as well as organ transplants, burn treatments and specialized musculoskeletal programs. A recognized leader in experiential medical education and groundbreaking research, Wake Forest University School of Medicine is the academic core of the enterprise, including Wake Forest Innovations, which is advancing new medical technologies and biomedical discoveries. Atrium Health is also a leading-edge innovator in virtual care and mobile medicine, providing care close to home and in the home. Ranked nationally among U.S. News & World Report’s Best Hospitals in eight pediatric specialties and for rehabilitation, Atrium Health has also received the American Hospital Association’s Quest for Quality Prize and its 2021 Carolyn Boone Lewis Equity of Care Award, as well as the 2020 Centers for Medicare & Medicaid Services Health Equity Award for its efforts to reduce racial and ethnic disparities in care. With a commitment to every community it serves, Atrium Health seeks to improve health, elevate hope and advance healing – for all, providing $2.46 billion last year in free and uncompensated care and other community benefits.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size10000+

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Job description

Department:

13244 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Quality

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Will support:

  • Facility Inpatient Coding Quality

Schedule:

  • Monday - Friday 1st shift 40 hours a week.

Certification 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.    

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 - $53.25

Major Responsibilities  

  • 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 to ensure enterprise consistency.  

  • 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 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 hospital-based Inpatient 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 to identify coding 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 Coding Department team 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 sense of ethics. 

  • Experience with remote workforce operations required.

Physical Requirements and Working Conditions

  • 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

#LI-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.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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