Coding Quality Assurance Specialist II

Texas Children's Medical Center; Houston (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

Texas Children's Medical Center is looking for a Coding Quality Assurance Specialist II who will be responsible for assigning and auditing the accuracy of ICD-10-CM and CPT codes. The ideal candidate should possess a high school diploma and have at least 2 years of coding experience.

The position requires strong coding skills, knowledge of coding systems, and the ability to work collaboratively with physicians and the education team. Location: Houston, TX.

Qualifications

• 2 years' experience in coding required.
• Proficient in assigning ICD-10-CM and CPT codes.

Responsibilities

• Assigns ICD-10-CM, ICD-10-PCS, and CPT codes.
• Reviews documentation for diagnoses and procedures.
• Provides feedback to education team.

Skills

Coding accuracy

Knowledge of ICD-10-CM

Knowledge of CPT codes

Communication skills

Problem-solving

Education

H.S. Diploma or GED

Tools

Epic

MIQS

Logician

Job description

We’re searching for a Coding Quality Assurance Specialist II — someone who works well in a fast-paced setting. In this position, you will assign and audit the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians' E/M and procedure coding to their documentation, completes the auditing reporting tool, and provides feedback to the education team and/or provider.

Think you’ve got what it takes?

Job Duties & Responsibilities

Assigns ICD-10-CM, ICD-10-PCS, and CPT codes.

Reviews and interprets documentation for appropriate diagnosis and procedures.

Communicates with and provides feedback to the education team and/or provider.

Identifies principle and secondary diagnoses and procedure codes from the electronic medical and/or paper record.

Utilizes the encoder or coding books to correctly assign all ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures.

Sequences diagnosis and procedures to generate appropriate ICD-10-CM, CPT, PCS, and DRG codes for billing.

Queries physicians to obtain clarification or missing elements in the record preventing correct coding.

Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, Logician, and coding reference materials).

Assists other coders in resolving coding problems/questions.

Provides ICD-10 and CPT, for physician research projects, and reporting purposes.

Completes abstracts for records when appropriate.

Corrects problem accounts.

Participates in education and maintains certification.

Assists in auditing records.

Maintains concurrent coding for inpatient records.

Skills & Requirements

Required H.S. Diploma or GED

Required 2 years' experience in coding

Required Licenses/Certifications

CCA - Certified Coding Associate by the American Health Information Management Association (AHIMA)

CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA)

CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA)

CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC)

COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC)

CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders (AAPC)

CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC)

RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA)

RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA)

Job Info

• Job Identification 425420
• Job Category Administrative Support
• Posting Date 06/14/2026, 02:00 PM
• Degree Level High School Graduate
• Job Schedule Full time
• Locations A 6621 Fannin St, Houston, TX, 77030, US