Coding Quality Auditor: Data Integrity & Compliance

Houston Methodist; Georgia; On-site; USD 70,000 - 95,000; Full time

Job summary

Houston Methodist is seeking a Coding Quality Auditor responsible for ensuring accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT coding based on documentation in the electronic medical record, while maintaining compliance with coding standards and regulatory guidelines.

The role supports data quality, revenue integrity, and participates in quality review projects across HIM and related departments, with emphasis on communication and process improvements in outpatient and inpatient coding.

Qualifications

• Associate’s degree or higher in a Commission on Accreditation in Health Informatics and Information Management accredited program required or additional two years of experience in lieu of degree.
• Five years of coding experience relevant to the area auditing (e.g., inpatient, outpatient, professional fees).
• Required RHIT, RHIA, or CCS from AHIMA.

Responsibilities

• Interacts with coding team, HIM, physicians, IT, and other stakeholders to ensure accurate coding and adherence to guidelines.
• Performs quality reviews and provides feedback during coding education and meetings.
• Assists with documentation training, requests physician queries for diagnoses and procedures, and supports CDMP with ICD-10/DRG/APC assignments.

Skills

English proficiency

Communication

Electronic encoder

ICD-10 training (AHIMA)

Education

Associate’s degree or higher in AHIMA-accredited program

Tools

Encoder application

Job description

Houston Methodist is seeking a Coding Quality Auditor responsible for ensuring accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT coding based on documentation in the electronic medical record, while maintaining compliance with coding standards and regulatory guidelines.

The role supports data quality, revenue integrity, and participates in quality review projects across HIM and related departments, with emphasis on communication and process improvements in outpatient and inpatient coding.