Hospital Coding Quality Integrity Analyst - Inpatient
Job in
Allenton, Washington County, Wisconsin, 53002, USA
Listed on 2026-10-15
Listing for:
Aurora Health Care
Full Time
position Listed on 2026-10-15
Job specializations:
-
Healthcare
-
Quality Assurance - QA/QC
Job Description & How to Apply Below
- 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.
Job Requirements
- Associate degree or equivalent education and experience required.
- 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.
Job Requirements
- Associate degree or equivalent education and experience required.
- Associate degree or equivalent education and experience required.
- 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.
- 5 years of experience in expert‑level hospital‑based coding and experience in revenue cycle processes, health information workflows, and medical record auditing experience.
- 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,…
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