Coding Quality Auditor: Data Integrity & Compliance

Houston Methodist; Tennessee; On-site; USD 70,000 - 100,000; Full time

Job summary

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate ICD-9/ICD-10 and CPT coding for inpatient and outpatient encounters based on documentation in the EMR. You will support data integrity, compliance with coding guidelines, and revenue preservation.

Qualified candidates will have at least five years of coding experience and AHIMA/CPC certifications. The role involves collaboration with the coding team, physicians, CDMP, IT, and business offices to maintain high standards of

Qualifications

• Associates degree or higher in a Commission on Accreditation in Health Informatics & Information Management accredited program, or 2 extra years of experience in lieu of degree.
• Five years of coding experience relevant to auditing (inpatient, outpatient, professional fee).
• RHIT, RHIA, or CCS for inpatient/outpatient coding; CPC for professional fee coding.

Responsibilities

• Interacts with coding team and HIM, physicians, and cross-functional partners to ensure coding accuracy.
• Performs data quality reviews to preserve data integrity and revenue.
• Participates in quality reviews and performance improvement projects across the department.

Skills

Coding audits

Medical terminology

Communication

Documentation review

EHR systems

Education

Associate’s degree or higher in Health Informatics or HIM

Tools

Electronic encoder

EHR platforms

AHIMA ICD-10 training

Job description

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate ICD-9/ICD-10 and CPT coding for inpatient and outpatient encounters based on documentation in the EMR. You will support data integrity, compliance with coding guidelines, and revenue preservation.

Qualified candidates will have at least five years of coding experience and AHIMA/CPC certifications. The role involves collaboration with the coding team, physicians, CDMP, IT, and business offices to maintain high standards of