Medical Coding Quality Auditor

Houston Methodist; Florida; Presencial; USD 65 000 - 90 000; Tempo integral

Resumo da oferta

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate ICD-9/ICD-10 and CPT coding for inpatient and outpatient encounters based on EMR documentation, while complying with regulations. The role performs data quality reviews to preserve data integrity and revenue.

Key duties include participating in quality improvement projects, education, and supporting the coding team and related departments. AHIMA credentials and 5 years of coding experience are preferred.

Qualificações

• Associate degree or higher in an AHIMA/HIM program or two additional years of experience in lieu of degree.
• Five years of coding experience relevant to auditing (inpatient, outpatient, professional fees).
• RHIT, RHIA, or CCS certification required for inpatient/outpatient coding; CPC for professional coding.
• Strong communication and English proficiency for safe patient and staff interactions.
• Knowledge of EMR and imaging systems; medical terminology and anatomy knowledge.
• Proficiency with encoder software; ICD-10 training preferred.

Responsabilidades

• Interact with coding team, HIM, physicians and staff to ensure accurate coding.
• Participate in coding education, meetings, and share knowledge with partners.
• Respond to coding/DRG requests and ensure accuracy of coded accounts.
• Query physicians to obtain diagnoses/procedures using standard process.
• Assist with QA reviews to ensure data integrity and coding accuracy.
• Support Case Management and Patient Access with CPT codes for pre-Admission and pre-certification.
• Represent coding in hospital meetings when necessary.

Conhecimentos

Patient communication

English fluency

EMR & imaging systems

Medical terminology

Encoder software

ICD-10 trainer

AHIMA certifications

Formação académica

Associate degree or higher in Health Information Management

Ferramentas

Electronic encoder

Descrição da oferta de emprego

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate ICD-9/ICD-10 and CPT coding for inpatient and outpatient encounters based on EMR documentation, while complying with regulations. The role performs data quality reviews to preserve data integrity and revenue.

Key duties include participating in quality improvement projects, education, and supporting the coding team and related departments. AHIMA credentials and 5 years of coding experience are preferred.