At Houston Methodist, the Coding Quality Auditor is responsible for ensuring accuracy in code assignment of diagnosis and procedure for outpatient and/or inpatient encounters based on documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. The role performs data quality reviews to support data integrity, coding accuracy, and revenue preservation, and participates in quality review and performance improvement projects throughout the department and/or facility.
The position also supports coding teams, HIM, physicians, CDMP nurses, IT, Quality Operations, Case Management, Patient Access, and the Business Office. Duties include reviewing coded accounts, assisting with physician queries, supporting documentation improvement efforts, conducting peer quality reviews, compiling reports for HIM management, and helping maintain coding productivity and quality standards.
Education
- Associate’s degree or higher in a Commission on Accreditation in Health Informatics and Information Management accredited program required
- Additional two years of experience may be accepted in lieu of degree
Experience
- Five years of coding experience relevant to the area being audited, such as inpatient, outpatient, or professional fee coding
Licenses and Certifications
- Must have one of the following: RHIT, RHIA, or CCS from AHIMA
Skills and Knowledge
- Knowledge of electronic medical records and imaging systems
- Working knowledge of medical terminology, anatomy, and physiology
- Proficiency with electronic encoder applications
- Ability to communicate effectively in English, both verbally and in writing
- Ability to work collaboratively with patients, physicians, family members, and co-workers
- AHIMA-designated ICD-10 Approved Trainer preferred
Location
Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 week ago