Healthcare Coding Quality Auditor

Houston Methodist; Atlanta (GA); 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 in inpatient and outpatient encounters based on documentation within the EMR. The role emphasizes data integrity, compliance with AHIMA guidelines, and collaboration across HIM, coding teams, and clinical staff.

Ideal candidates will have an RHIT/RHIA/CCS or CPC certification and at least five years of coding experience.

Qualifications

• Associate’s degree or higher in an AHIMA/CAHIIM-accredited program required or two years of related experience in lieu of degree.
• Five years of coding experience in inpatient, outpatient, or professional fee auditing.
• RHIT, RHIA, or CCS certification for inpatient/outpatient coding or CPC for professional fee coding.

Responsibilities

• Ensures accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes per hospital policy and guidelines.
• Participates in coding education, meetings, and quality improvement activities.
• Queries physicians to obtain clarification on diagnoses/procedures when needed.
• Supports CDMP with DRG/APR-DRG assignments and coding documentation training.
• Maintains data integrity and supports revenue preservation.

Skills

Medical coding

Auditing

Communication

EMR systems

ICD-10 coding

AHIMA/CPC certs

Education

Associate’s degree or higher in an AHIMA/CAHIIM-accredited program

Tools

Electronic encoder

EMR/EHR systems

Job description

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate diagnosis and procedure coding in inpatient and outpatient encounters based on documentation within the EMR. The role emphasizes data integrity, compliance with AHIMA guidelines, and collaboration across HIM, coding teams, and clinical staff.

Ideal candidates will have an RHIT/RHIA/CCS or CPC certification and at least five years of coding experience.