Documentation & Risk Coding Analyst - Hospital Based Job at Advocate Health Care (Remote)

New

Documentation & Risk Coding Analyst - Hospital Based

Will support - Hospital Based Coding. Standard dept operating hours Mon-Fri. 6am...

Location

United States , Milwaukee

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge
High school diploma or GED required
Minimum of 4 years of healthcare experience, including at least 2 years working as a clinician or in direct partnership with clinicians or recognized profession supporting clinicians (i.e. CDI, CMD or informatics), with demonstrated involvement in clinical documentation, coding, or documentation improvement initiatives
Clinical or operational credential required. May include licensure as a clinically practicing professional (e.g., RN, RT, LCSW) or Certification in healthcare operations or project management (e.g., PMP, LSSGB, HFMA-CRCR)
Certification in mid-revenue cycle operations from a recognized professional organization such as AHIMA, AAPC, or HFMA is required
Candidates without a certification in mid-revenue cycle from a recognized professional organization will be required to obtain one within 12 months of hire
Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications
Demonstrated proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems
Ability to deal and work effectively with multiple departments and in matrix organizational structures
Strong oral and written communication skills

Job Responsibility

Demonstrates full understanding and is compliant with regulatory requirements regarding coding of medical information including but not limited to external regulatory agencies such as Quality Improvement Organizations (QIOs), the Centers for Medicare & Medicaid Services (CMS), Medicare National Correct Coding Initiative edits and other payers
Partners with Coding, CDI, CMD and Quality professionals and others to advance documentation improvement practices
Exhibits and promotes a professional team-oriented service culture to achieve intended outcomes
Reviews clinical documentation and diagnostic results from the EHR to ensure appropriate assignment of the ICD-10-CM/PCS and/or ICD-10-CM CPT/HCPCS codes to support organizational and Clinician Services initiatives
As indicated, queries providers when existing documentation is unclear or ambiguous following established organizational policy
Partner within sub-function leadership and team members to identify opportunities for improvement based on analysis and review
Demonstrates positive collaboration with team members within Clinician Services and other organizational stakeholders
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines as well as the organizational and departmental guidelines, policies and protocols
Demonstrates technical competence to use EHR, other software applications and official coding resources
Maintains confidentiality of patient records. Reports any perceived non-compliant practices to the Documentation and Risk leadership or compliance officer

What we offer

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
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions

Fulltime

Clinical Risk Management Analyst

Location

United States , Aurora

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

If RN, Active, unrestricted registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services
Graduate of a Board of Nursing approved nursing education program
Typically requires 5 years of experience in healthcare, quality and/or risk management, which includes experience in risk management principles, and continuous quality improvement tools and concepts
Knowledge of federal, state and other external health care regulations and standards and ability to research those regulations
Knowledge of evidence based, best practice resources to promote efficiency and effective outcomes
Working knowledge of process improvement methods and statistical tools
Effective conflict management and resolution skills
Basic working knowledge of medical terminology, clinical concepts and disease management
Intermediate computer skills including experience in using Microsoft Office (Excel, Word, Power Point, Access) or similar products
Strong written and oral communication skills including good presentation skills

Job Responsibility

Collaborates with claims adjustors and defense counsel in managing claims including assessment of liability, ensuring establishment of appropriate reserves, maintaining complete and up-to-date case files, and assisting in procurement of medical records and documents necessary for evaluation and defense of cases
Facilitates timely response and investigation of adverse and significant events
Collects and evaluates data concerning incident reports, aggregates data summaries, and develops monthly and quarterly risk management reports that provide a summary of current claims and litigation, to include an analysis of trends
Shares reports with appropriate leadership and advises and recommends actions for process improvement
Maintains an accurate, up-to-date database reflecting the status and essential elements of current claims and litigation
Analyzes patient concerns or complaints to determine the root of the matter, identifies any trends, and determines how best to address the concern or complaint
Reviews and gathers pertinent information from patient records
Collaborates with other risk staff in the prompt, equitable resolution of claims
Provides consultative and resource support to staff regarding all aspects of risk management
Coordinates, facilitates, implements and participates in care management and quality improvement initiatives

What we offer

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

Fulltime

New

SEN Teaching Assistant

This is the job where you can make a difference and change lives, not many jobs ...

Location

United Kingdom , Bewdley, Herefordshire

Salary:

20077.00 - 23900.00 GBP / Year

Randstad

Expiration Date

March 03, 2026

Requirements

Relevant childcare, teaching assistant or care experience (Must be able to provide references)
Eligibility to work in the UK
Experience supporting children or adults with SEN needs (desirable)
Calm, nurturing and resilient individual
GCSE Maths and English or equivalent

Job Responsibility

Supporting learners on a 1:1, small group and whole class basis
Supporting the educational and general well being of SEN learners
Promoting, encouraging and creating a fun and engaging learning environment

What we offer

Incredible rates of pay + welcome bonus
Full training and continued support
Car lease scheme/bike to work scheme
Free onsite hot meals
Access to onsite facilities
Free parking
Fully equipped staff room with games/vending machines and relaxing recliners

New

Sen teaching assistant

This is the job where you can make a difference and change lives, not many jobs ...

Location

United Kingdom , Dudley

Salary:

20077.00 - 23900.00 GBP / Year

Randstad

Expiration Date

March 03, 2026

Requirements

Relevant childcare, teaching assistant or care experience (Must be able to provide references)
Eligibility to work in the UK
Experience supporting children or adults with SEN needs (desirable)
Calm, nurturing and resilient individual
GCSE Maths and English or equivalent

Job Responsibility

Supporting learners on a 1:1, small group and whole class basis
Supporting the educational and general well being of SEN learners
Promoting, encouraging and creating a fun and engaging learning environment

What we offer

Incredible rates of pay + welcome bonus
Full training and continued support
Car lease scheme/bike to work scheme
Free onsite hot meals
Access to onsite facilities
Free parking
Fully equipped staff room with games/vending machines and relaxing recliners

Fulltime

New

1:1 Teaching Assistant

Do you dream of working in a school with interactive, fun and creative learning?...

Location

United Kingdom , Horsham

Salary:

20855.00 - 23283.00 GBP / Year

Randstad

Expiration Date

March 10, 2026

Requirements

6-12 months teaching assistant experience or equivalent (desirable)
Maths and English GCSE or equivalent (desirable)
Eligibility to work in the UK

Job Responsibility

Supporting KS1- KS2 learners on a 1:1, small group and classroom basis
Communicating with parents and carers over pupils' progress and participating in departmental meetings, parents' evenings and whole school training events

What we offer

Free Hot meals and lift share
Modern resources and equipment including interactive whiteboards and ipads
Superb and spacious classrooms and grounds
There is lots of room for progression in the roles, from senior teaching assistant to skill development and other areas to branch into (therapies, inclusion support etc.)

Fulltime

New

1:1 Teaching Assistant (TA)

Do you dream of working in a school with interactive, fun and creative learning?...

Location

United Kingdom , Billingshurst

Salary:

20855.00 - 23283.00 GBP / Year

Randstad

Expiration Date

March 10, 2026

Requirements

6-12 months teaching assistant experience or equivalent (desirable)
Maths and English GCSE or equivalent (desirable)
Eligibility to work in the UK

Job Responsibility

Supporting KS1- KS2 learners on a 1:1, small group and classroom basis
Communicating with parents and carers over pupils' progress and participating in departmental meetings, parents' evenings and whole school training events

What we offer

Free Hot meals and lift share
Modern resources and equipment including interactive whiteboards and ipads
Superb and spacious classrooms and grounds
There is lots of room for progression in the roles, from senior teaching assistant to skill development and other areas to branch into (therapies, inclusion support etc.)

Fulltime

New

1:1 Teaching Assistant

Do you dream of working in a school with interactive, fun and creative learning?...

Location

United Kingdom , Southwater

Salary:

20855.00 - 23283.00 GBP / Year

Randstad

Expiration Date

March 10, 2026

Requirements

6-12 months teaching assistant experience or equivalent (desirable)
Maths and English GCSE or equivalent (desirable)
Eligibility to work in the UK

Job Responsibility

Supporting KS1- KS2 learners on a 1:1, small group and classroom basis
Communicating with parents and carers over pupils' progress and participating in departmental meetings, parents' evenings and whole school training events

What we offer

Free Hot meals and lift share
Modern resources and equipment including interactive whiteboards and ipads
Superb and spacious classrooms and grounds
There is lots of room for progression in the roles, from senior teaching assistant to skill development and other areas to branch into (therapies, inclusion support etc.)

Fulltime

New

1:1 Teaching Assistant (ta)

Do you dream of working in a school with interactive, fun and creative learning?...

Location

United Kingdom , Pulborough

Salary:

20855.00 - 23283.00 GBP / Year

Randstad

Expiration Date

March 10, 2026

Requirements

6-12 months teaching assistant experience or equivalent (desirable)
Maths and English GCSE or equivalent (desirable)
Eligibility to work in the UK

Job Responsibility

Supporting KS1- KS2 learners on a 1:1, small group and classroom basis
Communicating with parents and carers over pupils' progress and participating in departmental meetings, parents' evenings and whole school training events

What we offer

Free Hot meals and lift share
Modern resources and equipment including interactive whiteboards and ipads
Superb and spacious classrooms and grounds
There is lots of room for progression in the roles, from senior teaching assistant to skill development and other areas to branch into (therapies, inclusion support etc.)

Fulltime

Documentation & Risk Coding Analyst - Hospital Based

Advocate Health Care

Location:
United States , Remote ▼
Milwaukee

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 14, 2026

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