Houston Methodist
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.
FLSA Status Non‑exempt.
Education 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.
Experience Five years of coding experience relevant to auditing (e.g., inpatient, outpatient, professional fee).
Licenses and Certifications RHIT, RHIA, or CCS certification from AHIMA for inpatient/outpatient coding. CPC from AAPC for professional fee coding.
Skills and Abilities 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.
Essential Functions 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 ID, 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.
Supplemental Requirements Work attire: Business professional.
On‑call Employees may be required to be on‑call during emergencies (disaster, severe weather events) regardless of selection. On Call: No.
Travel Travel within the Houston Metropolitan area: Yes. Travel outside Houston Metropolitan area: Yes.
#J-18808-Ljbffr
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.
FLSA Status Non‑exempt.
Education 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.
Experience Five years of coding experience relevant to auditing (e.g., inpatient, outpatient, professional fee).
Licenses and Certifications RHIT, RHIA, or CCS certification from AHIMA for inpatient/outpatient coding. CPC from AAPC for professional fee coding.
Skills and Abilities 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.
Essential Functions 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 ID, 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.
Supplemental Requirements Work attire: Business professional.
On‑call Employees may be required to be on‑call during emergencies (disaster, severe weather events) regardless of selection. On Call: No.
Travel Travel within the Houston Metropolitan area: Yes. Travel outside Houston Metropolitan area: Yes.
#J-18808-Ljbffr