Coding Quality Auditor

Join to apply for the Coding Quality Auditor role at Houston Methodist (Non‑exempt, Mid‑Senior level, Full‑time, Quality Assurance).

A key part of the role is to ensure accuracy in code assignment for diagnosis and procedure for outpatient and/or inpatient encounters, reviewing data quality, coding accuracy, revenue preservation, and participating in quality review and performance improvement projects.

Non‑exempt.

• Associate’s degree or higher in a Commission on Accreditation in Health Informatics and Information Management accredited program required, or additional two years of experience in lieu of degree.

• Five years of coding experience relevant to auditing (e.g., inpatient, outpatient, professional fee).

• RHIT, RHIA, or CCS certification from AHIMA for inpatient/outpatient coding.
• CPC from AAPC for professional fee coding.

• Demonstrated skills and competencies required for the job.
• Proficiency in speaking, reading, writing English.
• Effective communication with patients, physicians, family members, and co‑workers.
• Knowledge of electronic medical records, imaging systems, medical terminology, anatomy and physiology.
• Proficiency with electronic encoder application.
• AHIMA designated ICD‑10 Approved Trainer preferred.

• Communicate effectively with coding team, HIM, physicians, CDMP nurses, IT, Quality Operations, Case Management, Patient Access, and Business Office.
• Provide feedback during coding meetings and education sessions.
• Respond promptly to coding/DRG requests and Business Office requests.
• Initiate queries with physicians and support CDMP with MS‑DRG/APR‑DRG assignment, sequencing, and documentation training.
• Assist with peer reviews, quality assurance, and recommendations for improvement.
• Assist Case Management and Patient Access with CPT coding for pre‑admission/pre‑certification.
• Represent coding area in hospital meetings and events.
• Assign accurate ICD‑10‑CM/ICD‑10‑PCS and CPT codes, perform DRG/APC assignment, review discharge disposition and physician , abstract data into encoder and EHR system.
• Aggregate data and compile reports for HIM management.
• Maintain productivity while ensuring accuracy, monitor worklists, meet coding hold goal.
• Critically evaluate performance and seek improvement.

• Work attire:
  Business professional.

• Employees may be required to be on‑call during emergencies (disaster, severe weather events) regardless of selection.
• On Call:
  No.

• Travel within the Houston Metropolitan area:
  Yes.
• Travel outside Houston Metropolitan area:
  Yes.