Integrity and Compliance Coding Analyst

Job Duties

HealthPartners is hiring an Integrity and Compliance Coding Analyst. They are responsible for conducting documentation, coding, and billing reviews to identify, reduce, and mitigate compliance-related risk. This role evaluates medical record documentation, coding accuracy, and billing practices to ensure adherence to regulatory requirements, payer policies, and organizational standards. The position collaborates closely with operational and clinical partners to communicate findings, recommend corrective actions, and support ongoing compliance and revenue integrity efforts.

Key Responsibilities

Core Reviews

Conduct medical documentation, coding, and billing reviews to identify compliance concerns and areas of potential risk.

Analyze review findings, investigate billing issues, and prepare clear summaries and reports.

Develop, support, and monitor corrective action plans to address identified deficiencies and improve compliance outcomes.

Ensure effective communication and handoff of review results, recommendations, and remediation activities.

Regulatory Expertise

Apply knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, commercial payer requirements, and healthcare billing regulations.

Stay current on documentation, coding, billing, and regulatory changes impacting healthcare organizations.

Evaluate the quality, accuracy, and consistency of review findings.

Ensure effective communication and handoff of review results, recommendations, and remediation activities.

Collaboration

Partner with clinical providers, revenue cycle teams, health information teams and other operational teams

Present findings and recommendations to leadership and support education related to documentation, coding, and billing compliance.

Foster a culture of compliance through collaboration, consultation, and problem-solving.

Continuous Improvement

Identify opportunities to improve audit methodologies, monitoring activities, and reporting processes.

Recommend innovative approaches to strengthen compliance monitoring and risk mitigation programs.

Qualifications

Education

Certified coder (CPC, CCS, RHIT, RHIA, CPMA, or equivalent) with five or more years of relevant experience, and/or a bachelor's degree in a related field.

Experience

Demonstrated experience conducting documentation reviews, coding audits, billing investigations, and compliance assessments.

Strong understanding of medical terminology, anatomy and physiology, disease processes, clinical documentation, and healthcare reimbursement.

Skills

Strong analytical, investigative, and problem-solving abilities.

Excellent written and verbal communication skills.

Ability to manage multiple priorities and communicate effectively with leaders and stakeholders across the organization.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Minimum Education Required

Bachelor Degree

Minimum Experience Required

5 - 20 years

Shift

First (Day)

Number of Openings

1

Public Transportation Accessible

Yes

Veterans Encouraged to Apply

No

Physical Required

Yes

Drug Test Required

Yes

Compensation

$31.38 - $47.06 / Hourly

Postal Code

55420

Job Type

Full Time

Place of Work

On-site

Requisition ID

122173

Job Benefits

Not specified