Senior Coding Quality Auditor - Data Integrity & Compliance

Houston Methodist; Tennessee; On-site; USD 75,000 - 110,000; Full time

Job summary

Houston Methodist seeks a Coding Quality Auditor to ensure accurate ICD-9/ICD-10-CM/PCS and CPT coding for outpatient and inpatient encounters, aligning with documentation and regulatory guidelines.

This role supports data quality, DRG/APC assignments, and performance improvement projects across the HIM department, with collaboration among physicians, nurses, IT, and business offices.

Qualifications

• Associate degree or higher in an AHIMA/HIM accredited program or equivalent experience
• Five years of coding experience relevant to auditing (inpatient, outpatient or professional fee)
• RHIT/RHIA/CCS or CPC certification required depending on coding area
• Proficient English communication and customer service orientation
• Familiarity with electronic medical records, imaging systems and medical terminology
• AHIMA ICD-10 knowledge is preferred
• Ability to mentor and provide guidance to other coders

Responsibilities

• Ensure accurate code assignment for diagnoses and procedures
• Participate in quality review and performance improvement projects
• Provide support to CDMP and physician query processes
• Assist with data integrity, DRG/APC assignments, and documentation training
• Support HIM management with reports and analytics

Skills

Effective communication

Electronic medical record

Medical terminology

Electronic encoder

ICD-10 knowledge

Education

Associate degree or higher in HIM/HIT or AHIMA-accredited program

Tools

RHIT/RHIA/CCS (AHIMA)

CPC (AAPC)

Job description

Houston Methodist seeks a Coding Quality Auditor to ensure accurate ICD-9/ICD-10-CM/PCS and CPT coding for outpatient and inpatient encounters, aligning with documentation and regulatory guidelines.

This role supports data quality, DRG/APC assignments, and performance improvement projects across the HIM department, with collaboration among physicians, nurses, IT, and business offices.