HIM Coding Auditor/Educator

Cook Children's Health Care System; Texas; Remote; USD 75,000 - 105,000; Full time

Job summary

Cook Children's Health Care System is seeking an HIM Coding Auditor-Educator to lead coding quality reviews and education programs. This role focuses on ICD-10-CM/PCS and CPT coding accuracy, DRG assignment, and adherence to official guidelines within inpatient and outpatient settings.

You will develop training based on audit findings, regulatory updates, and identified knowledge gaps, guiding staff to improved accuracy and compliance across the organization.

Qualifications

• Three years inpatient and outpatient coding experience with 1 year auditing, leading projects, teams or groups required.
• In lieu of education requirements, 5 years inpatient and outpatient coding experience, with two years auditing, leading projects, team or groups required.
• Must have strong knowledge of Coding regulations and regulatory compliance experience.

Responsibilities

• Perform and analyze inpatient and outpatient ICD-10-CM/PCS and CPT coding quality reviews to validate DRG assignment and indicators.
• Develops, coordinates, and maintains coding education and training programs based on audit findings.
• Lead education initiatives and promote adherence to official coding guidelines and organizational policies.

Skills

ICD-10-CM/PCS

CPT-4 coding

Auditing

Regulatory compliance

Education

Bachelor's in HIM

Job description

Location:

Remote - TX

Department:

HIM-Coding

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The HIM Coding Auditor-Educator serves as a knowledge expert and leader for ICD-10-CM/PCS and CPT-4 classification systems coding quality and education. Develops, coordinates, and maintains coding education and training programs based on audit findings, regulatory updates, identified knowledge gaps, and coding quality trends. Performs and analyzes inpatient and outpatient ICD-10-CM/PCS and CPT coding quality reviews to validate accurate DRG assignment, Severity of Illness, Present on Admission indicators, principal diagnosis, procedures, and reportable secondary diagnoses in accordance with official coding guidelines and organizational policies.

Experience

• Three years of inpatient and outpatient coding experience with 1 year auditing, leading projects, teams or groups required.
• In Lieu of education requirements, 5 years inpatient and outpatient coding experience, with two years of auditing, leading projects, team or groups required.
• Must have strong knowledge of Coding regulations and regulatory compliance experience.

Education

• Bachelor's Degree in HIM, Business or related field required.
  

Licensure, Registration, and/or Certification

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or CCS certification

About Us:

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Cook Children's is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.