Expert Coding Quality Auditor: Data Integrity & Compliance

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

Job summary

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate code assignments for diagnoses and procedures across inpatient and outpatient encounters, based on documentation within the electronic medical record and in compliance with AHIMA and coding guidelines.

The role emphasizes data quality, accuracy, DRG/APC assignments, and collaboration with the coding team, CDMP, and business partners to support revenue integrity.

Qualifications

• Associate’s degree or higher in HIM/Health Informatics or accredited program required or equivalent experience

Responsibilities

• Interact with coding team, physicians, CDMP, IT, Quality Operations and other stakeholders.
• Provide feedback during coding meetings and education sessions.
• Assist in quality reviews to ensure data integrity and coding accuracy.
• Support CPT/ICD-9-CM/ICD-10-CM/ICD-10-PCS and DRG/APC assignments.
• Coordinate with Case Management and Patient Access on coding needs.
• Adhere to AHIMA Standards of Ethical Coding and official guidelines.

Skills

Medical terminology

ICD-10 coding

CPT coding

Electronic health record

Communication skills

Encoder software

AHIMA guidelines

Team collaboration

Education

HIM/Health Informatics degree

Tools

Electronic encoder application

Imaging systems

Job description

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate code assignments for diagnoses and procedures across inpatient and outpatient encounters, based on documentation within the electronic medical record and in compliance with AHIMA and coding guidelines.

The role emphasizes data quality, accuracy, DRG/APC assignments, and collaboration with the coding team, CDMP, and business partners to support revenue integrity.