Senior Coding Quality Auditor: Data Integrity & Compliance

Houston Methodist; Louisiana (MO); On-site; USD 75,000 - 95,000; Full time

Job summary

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate assignment of ICD-9/ICD-10-CM/PCS and CPT codes for outpatient and inpatient encounters, based on documentation in the EMR. The role supports data integrity, regulatory compliance, and revenue preservation.

You will collaborate with HIM and coding teams, perform quality reviews, and participate in performance improvement projects, with travel within the Houston area as needed.

Qualifications

• Education/experience requirement in health information or coding.
• Five years of coding experience in inpatient, outpatient, or professional fee auditing.
• RHIT/RHIA/CCS or CPC certifications required depending on coding area.

Responsibilities

• Interact with coding team and HIM to ensure adherence to coding guidelines.
• Query physicians to obtain or clarify diagnoses and procedures.
• Assist with quality reviews to ensure data integrity and accuracy.
• Provide CPT coding for pre-admission and pre-certification requirements.
• Represent coding in hospital meetings and performance improvement committees.

Skills

Communication skills

English proficiency

Knowledge of EMR systems

Medical terminology

AHIMA ICD-10/DRG knowledge

Encoder application proficiency

Regulatory/compliance awareness

Education

Associate’s degree or higher in an AHIMA accredited program

Tools

Electronic encoder

EHR systems

Imaging systems

Job description

Houston Methodist is seeking a Coding Quality Auditor to ensure accurate assignment of ICD-9/ICD-10-CM/PCS and CPT codes for outpatient and inpatient encounters, based on documentation in the EMR. The role supports data integrity, regulatory compliance, and revenue preservation.

You will collaborate with HIM and coding teams, perform quality reviews, and participate in performance improvement projects, with travel within the Houston area as needed.