Coding Quality Auditor: ICD-10 & DRG Accuracy Expert

Houstonmethodistcareers; Katy (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

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

The role includes data quality reviews, participation in performance improvement projects, and collaboration with coding teams, CDMP and business partners to maintain data integrity and revenue preservation.

Qualifications

• Associate degree or higher in an AHIMA-accredited program or two extra years of experience in lieu of degree.
• Five years of coding experience relevant to the auditing area (inpatient, outpatient, professional fee).
• RHIT, RHIA, or CCS for inpatient/outpatient coding; CPC for professional fee coding.

Responsibilities

• Interact with coding team, HIM, physicians, IT, and other partners to ensure accurate coding and guidelines.
• Initiate physician queries to obtain diagnoses/procedures per policy.
• Contribute to quality reviews to improve data integrity and coding accuracy.
• Assist with CPT/DRG/APC assignments and documentation training.
• Support Case Management and Patient Access in coding reviews and standard processes.

Skills

English proficiency

Communication skills

EMR knowledge

Medical terminology

Encoder skills

AHIMA ICD-10 Trainer (preferred)

Education

Associate’s degree or higher in AHIMA-accredited program

Tools

Electronic encoder application

Imaging systems

EHR systems

Job description

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

The role includes data quality reviews, participation in performance improvement projects, and collaboration with coding teams, CDMP and business partners to maintain data integrity and revenue preservation.