Senior Coding Quality Auditor

Houston Methodist; Nashville (TN); Sur place; USD 70 000 - 90 000; Plein temps

Résumé du poste

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate diagnosis and procedure coding for outpatient and inpatient encounters, maintaining compliance with regulations. The role involves data quality reviews, supporting performance improvement projects, and collaborating with HIM, physicians, and business partners across the department.

Qualified candidates will have five years of coding experience and AHIMA/CPC certifications as applicable, with an emphasis on accurate DRG/APC

Qualifications

• Associate’s degree or higher in an accredited Health Informatics and Information Management program or equivalent experience.
• Five years of coding experience in inpatient, outpatient, or professional fee auditing.
• RHIT, RHIA, CCS for inpatient/outpatient coding or CPC for professional coding as applicable.

Responsabilités

• Ensures accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT coding per policy and regulatory guidelines.
• Performs data quality reviews to preserve data integrity and revenue.
• Interacts with coding team, HIM, physicians, IT, and business partners to improve processes.
• Participates in quality improvement projects and coding education sessions.

Connaissances

Communication

English fluency

Customer service

EMR knowledge

Medical terminology

Encoder application

ICD-10 trainer

Formation

Associate degree or higher in Health Informatics

Description du poste

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate diagnosis and procedure coding for outpatient and inpatient encounters, maintaining compliance with regulations. The role involves data quality reviews, supporting performance improvement projects, and collaborating with HIM, physicians, and business partners across the department.

Qualified candidates will have five years of coding experience and AHIMA/CPC certifications as applicable, with an emphasis on accurate DRG/APC