Coding Quality Auditor: Drive Accurate Coding & Compliance

Houston Methodist; Georgia; On-site; USD 85,000 - 110,000; Full time

Job summary

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate diagnosis and procedure coding for outpatient and inpatient encounters, aligning with documentation and regulatory guidelines.

The role emphasizes data integrity, DRG/APC assignments, and participation in quality improvement projects across the department. Strong AHIMA/CPC certifications are preferred. This on-site position supports hospital coding operations and accuracy across care settings.

Qualifications

• Associate degree or higher in health informatics and information management required, or two years' experience in lieu of degree.
• Five years of coding experience related to auditing (inpatient, outpatient, or professional fee).
• Certification: RHIT/RHIA/CCS for inpatient/outpatient, CPC for professional fee coding.

Responsibilities

• Interact with coding team and HIM, physicians, IT, and Case Management to ensure accurate coding.
• Provide feedback during coding education sessions and share understanding of official coding guidelines.
• Assist with CDMP queries and DRG/APR-DRG assignments, and support training.
• Support quality reviews and improvement initiatives and participate in departmental performance improvement activities.

Skills

Communication

English proficiency

EMR knowledge

Medical terminology

Encoder application

AHIMA trainer preferred

Education

Associate degree or higher in Health Informatics/Information Management

Tools

Electronic encoder application

Job description

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate diagnosis and procedure coding for outpatient and inpatient encounters, aligning with documentation and regulatory guidelines.

The role emphasizes data integrity, DRG/APC assignments, and participation in quality improvement projects across the department. Strong AHIMA/CPC certifications are preferred. This on-site position supports hospital coding operations and accuracy across care settings.