Coding Quality Auditor, HIM Data Integrity

Houston Methodist; Bellaire (TX); On-site; USD 80,000 - 100,000; Full time

Job summary

Houston Methodist is seeking a Coding Quality Auditor responsible for ensuring accuracy in coding diagnoses and procedures across outpatient and inpatient encounters, based on documentation in the EMR, and compliant with AHIMA guidelines.

You will perform data quality reviews, support performance improvement projects, and collaborate with HIM, CDMP, and case management to maintain data integrity and revenue preservation.

Qualifications

• Associate degree or higher in Health Informatics/Health Information Management or equivalent experience.
• Five years of coding experience relevant to auditing (inpatient, outpatient, professional fee).
• RHIT/RHIA/CCS for inpatient/outpatient or CPC for professional fee required; AHIMA/AAPC credentials preferred.

Responsibilities

• Ensure accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT coding per regulations.
• Query physicians to clarify diagnoses/procedures using established processes.
• Support quality assurance reviews and performance improvement initiatives.
• Collaborate with Case Management and Patient Access on CPT coding for pre-admission requirements.

Skills

Communication with patients and team

English language proficiency

EMR and imaging systems knowledge

Medical terminology knowledge

Electronic encoder application

AHIMA ICD-10 Trainer preference

Education

Associate degree or higher in health informatics/information management

Tools

Electronic encoder application

Job description

Houston Methodist is seeking a Coding Quality Auditor responsible for ensuring accuracy in coding diagnoses and procedures across outpatient and inpatient encounters, based on documentation in the EMR, and compliant with AHIMA guidelines.

You will perform data quality reviews, support performance improvement projects, and collaborate with HIM, CDMP, and case management to maintain data integrity and revenue preservation.