Senior Coding Quality Auditor – Data Integrity

Houston Methodist; Houston (TX); On-site; USD 70,000 - 95,000; Full time

Job summary

Houston Methodist in Houston, TX, seeks a Coding Quality Auditor to ensure accurate ICD-10-CM/PCS and CPT coding for inpatient and outpatient encounters, uphold AHIMA guidelines, and preserve revenue integrity.

The role collaborates with coding teams, physicians, CDMP and IT, participates in quality reviews and performance improvement projects, and requires RHIT/RHIA/CCS or CPC depending on coding area.

Qualifications

• Associate degree or higher in AHIMA accredited HIM program or equivalent experience.
• Five years of coding experience relevant to auditing (inpatient, outpatient, professional fee).
• RHIT, RHIA, or CCS for inpatient/outpatient coding; CPC for professional fee coding.
• Ability to communicate effectively and know medical terminology, anatomy, physiology.

Responsibilities

• Ensure accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT coding based on documentation.
• Perform data quality reviews to maintain data integrity and revenue preservation.
• Participate in quality review and performance improvement projects within the HIM department.

Skills

Coding accuracy

English communication

Medical terminology

Regulatory compliance

Quality mindset

Team collaboration

Education

Associate degree or higher in AHIMA accredited HIM program

Additional two years experience in lieu of degree

Tools

Electronic Encoder application

EMR/EHR systems

Job description

Houston Methodist in Houston, TX, seeks a Coding Quality Auditor to ensure accurate ICD-10-CM/PCS and CPT coding for inpatient and outpatient encounters, uphold AHIMA guidelines, and preserve revenue integrity.

The role collaborates with coding teams, physicians, CDMP and IT, participates in quality reviews and performance improvement projects, and requires RHIT/RHIA/CCS or CPC depending on coding area.