Full-Time
Coding Quality Auditor
Updated on 8/23/2026
Houston Methodist
Academic medical system
No salary listed
Houston, TX, USA
Hybrid
Remote or hybrid within the Houston area; travel within and outside the Houston metropolitan area may be required.
Bachelor's, Associate's
 Medical, Clinical & Veterinary (1) |
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- An associate’s degree or higher from a Commission on Accreditation for Health Informatics and Information Management accredited program, or two additional years of experience in lieu of the degree.
- Five years of coding experience relevant to the audited area, such as inpatient, outpatient, or professional-fee coding.
- One of the following AHIMA credentials is required: Registered Health Information Technician, Registered Health Information Administrator, or Certified Coding Specialist.
- Proficiency in speaking, reading, and writing English sufficient to perform the essential functions of the job.
- Knowledge of an electronic medical record and imaging systems.
- Working knowledge of medical terminology, anatomy, and physiology.
- Proficiency with an electronic encoder application.
- Ensure accurate diagnosis and procedure code assignment for outpatient and/or inpatient encounters based on electronic medical record documentation and applicable rules and regulatory guidelines.
- Perform data quality reviews to ensure data integrity, coding accuracy, and revenue preservation.
- Participate in department and facility quality review and performance improvement projects.
- Interact and communicate with the coding team, Health Information Management, physicians, Clinical Documentation Management Program nurses, Information Technology, Quality Operations, Case Management, Patient Access, and Business Office teams.
- Respond to internal and external customer coding and diagnosis-related group requests, and review coded accounts for accuracy.
- Initiate physician queries to obtain or clarify diagnoses and procedures using the established physician query process.
- Assist the Clinical Documentation Management Program with MS-Diagnosis-Related Group and APR-Diagnosis-Related Group assignment, diagnosis and procedure sequencing, and coding and documentation training.
- Assist with peer quality assurance reviews, identify improvement opportunities, and recommend enhancements.
- Assist Case Management and Patient Access with appropriate Current Procedural Terminology codes for pre-admission and pre-certification requirements, including the inpatient-only process.
- Assist in developing physician documentation protocols and represent the coding area at hospital meetings and performance improvement committees when necessary.
- Assign accurate ICD-9-CM, ICD-10-CM, ICD-10-PCS, and Current Procedural Terminology codes using an electronic encoder in accordance with hospital policy and regulatory guidelines.
- Perform diagnosis-related group and ambulatory payment classification assignment based on medical record documentation and nationally established rules and guidelines.
- Review and correct discharge disposition data when necessary.
- Enter physician identification numbers and procedure dates correctly in the medical record abstracting system.
- Review medical record documentation and abstract data into the encoder and electronic health record abstracting system to determine principal or final diagnoses, comorbid conditions and complications, secondary conditions, and procedures.
- Assist with outpatient or inpatient account quality reviews and training of new coders.
- Aggregate review data and compile reports for Health Information Management management.
- Code and abstract accounts at departmental productivity standards while maintaining coding accuracy.
- Review coding queues and worklists to identify old uncoded or problem accounts and process assigned work items within required timeframes.
- Assist in meeting coding bill-hold goals.
- Contribute ideas to improve coding and abstracting data quality.
- AHIMA-designated ICD-10 Approved Trainer experience or credential.
Houston Methodist is an academic medical system serving the Greater Houston region. The system provides hospital, specialty, emergency, outpatient, research, and medical education services across a network of care locations. It serves patients, families, clinicians, researchers, students, and communities across Southeast Texas. Its operating model centers on integrated hospitals and physician services supported by research institutes, education programs, technology, and system operations. Teams work across nursing, physicians, allied health, research, laboratories, technology, facilities, administration, and patient care. Teams support coordinated daily delivery.
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