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Added 1 hour ago
Inpatient Coder
Houston Methodist
Nashville, TN
One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program
Added 1 hour ago
Coding Quality Auditor
Houston Methodist
Nashville, TN
…ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining…
Added 6 hours ago
BH
Charge Capture Specialist Manual Entry
Banner Health
Remote, United States
- $23.62 to $35.44 USD / hour
This position assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and…
Added 7 hours ago
UG
Coding Quality Analyst Remote
UnitedHealth Group
Phoenix, AZ
- $60,200 to $107,400 USD / year
Outpatient coding experience in a coder or reviewer role
Added 7 hours ago
UG
Coding Quality Analyst Remote
UnitedHealth Group
Phoenix, AZ
- $60,200 to $107,400 USD / year
Outpatient coding experience in a coder or reviewer role
Added 8 hours ago
Manager, Revenue Cycle
Thomas Jefferson University
Philadelphia, PA
CPC - Certified Professional Coder - American Academy of Professional Coders or
Added 11 hours ago
Senior Facility Coder
Kootenai Health
Coeur d'Alene, ID
The Senior Facility Coder serves as the advanced technical resource for facility (hospital) inpatient and/or outpatient coding, ensuring coding accuracy and compliance for Kootenai Health.…
Added 11 hours ago
Senior Facility Coder
Kootenai Health
Coeur d'Alene, ID
The Senior Facility Coder serves as the advanced technical resource for facility (hospital) inpatient and/or outpatient coding, ensuring coding accuracy and compliance for Kootenai Health.…
Added 11 hours ago
Certified Coder/Biller - Administrative
Accountable Healthcare Staffing
Oklahoma City, OK
…patients in major medical centers, community-based hospitals, outpatient clinics, sub-acute care & rehab hospitals, correctional and long-term care facilities, and…
Added 11 hours ago
MEDICAL RECORDS CODER 2
Methodist Dallas Medical Center
Dallas, TX
…members to provide the very best care for our patients. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM,…
Added 11 hours ago
Clinical Validation Reviewer (RN) - Inpatient Coding & Reimbursement
Molina Talent Acquisition
United States
Provides support for inpatient and outpatient clinical claim review activities. Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies…
Added 12 hours ago
Emergency Department Coder
UCM
Chicago, IL · IL
…Information Administrator (RHIA), Certified Emergency Department Coder (CEDC), Certified Outpatient Coding (COC), Certified Professional Coder (CPC), Certified Coding Specialist Physician…
Added 12 hours ago
MH
Outpatient Coding Specialist I - Ambulatory Surgical Unit (ASU)
MedStar Health
United States
- $23.65 to $42.03 USD / hour
MedStar Health's Outpatient Ambulatory/Same Day Surgery Coding Team is looking for an experienced Coding Specialist I to join our team!
Added 13 hours ago
MH
Outpatient Coding Specialist II - Ambulatory Surgery Unit (ASU)
MedStar Health
United States
- $28.76 to $48.96 USD / hour
MedStar Health's Outpatient Ambulatory/Same Day Surgery Coding Team is looking for an experienced Coding Specialist II to join our team as soon as possible! To qualify the coder must have…
Added 13 hours ago
TCI - BILLING/CODING CLERK
MOUNTAIN VIEW HOSPITAL LLC
Idaho Falls, ID
An Outpatient Coder is an individual who assigns a numeric or an alphanumeric classification to identify ICD-10 diagnoses and procedures and applies documentation guidelines to translate…
Added 14 hours ago
Hospital Outpatient Coder
Infinx
Remote, United States
The Hospital Outpatient Coder supports the Coding department in various functions, including ensuring accurate hospital outpatient coding, resolving coding edits and rejections, and…
Added 14 hours ago
Inpatient Medical Coding Specialist
MEMORIAL HOSPITAL OF CARBON COUNTY
Remote, United States
…Surgery, Emergency, Laboratory, Radiology, Infusions and other Outpatient…
Added 15 hours ago
HIM/MEDICAL RECORDS CODER
UHS
LOUISVILLE, KY
…ontinuum of inpatient, extended care, partial hospitalization and outpatient services for…
Added 15 hours ago
UO
Medical Coder Professional_ Part Time
University of Mississippi Medical Center
Clinton, MS
- Part-time
Medical Coder-Professional is responsible for reviewing and coding medical records and documentation for healthcare services rendered. This role ensures that all diagnoses, procedures, and…
Added 17 hours ago
Coder II Professional Fee
Mountain Region Out of State Staffing
Remote, United States
As our Coder II, you will apply your senior-level expertise to meticulously code both inpatient and outpatient professional fee services across multiple specialties, ensuring accuracy and…
Added 17 hours ago
Coder II - Outpatient
Avera Health
Remote, United States
Responsible for the timely and accurate assignment of diagnostic and procedural codes for a variety of outpatient charts for multiple facilities within Avera Health. Accurate abstracting,…
Added 18 hours ago
HH
Lab Assistant, Marshall Medical Centers South, Full Time, 3rd Shift
Huntsville Hospital Health System
Boaz, AL
- Full-time
…clerical staff training, assuring that all charts are submitted to coder in a timely manner and reviewing nursing home monthly bills for accuracy. The above statements reflect the general…
Added 18 hours ago
HH
Lab Assistant, Marshall Medical Centers South, Full Time, 1st Shift
Huntsville Hospital Health System
Boaz, AL
- Full-time
…clerical staff training, assuring that all charts are submitted to coder in a timely manner and reviewing nursing home monthly bills for accuracy. The above statements reflect the general…
Added 19 hours ago
Supervisor coding Operations
Team Member Services
Remote, United States
Supervises daily inpatient and outpatient coding operations, ensuring work is completed in alignment with throughput, timeliness, and workflow expectations
Added 19 hours ago
Certified Coding Specialist II (Remote)-HPL
UPMC - Pittsburgh Medical Center
Remote, United States
Assist with training new staff for inpatient, outpatient, physician, and ED coding. Code inpatient, outpatient, physician, and ED documents as necessary.

Houston Methodist

Coding Quality Auditor

Nashville, TN, United States

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Job details

Posting language: English
Posted: Nov 10, 2026

Original job description

At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the department and/or facility.

FLSA STATUS

Non-exempt

QUALIFICATIONS

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 addition to the minimum experience requirements listed below) required in lieu of degree

EXPERIENCE

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

LICENSES AND CERTIFICATIONS

Required

For inpatient/outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is required
For professional fee coding: CPC from AAPC is required

SKILLS AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Knowledge of an electronic medical record and imaging systems
Working knowledge of medical terminology, anatomy and physiology
Proficiency with electronic encoder application
AHIMA designated ICD-10 Approved Trainer preferred

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

Interacts and communicates effectively with members of the coding team and HIM, physicians, CDMP nurses, IT, Quality Operations, Case Management, Patient Access and Business Office.
Participates and provides good feedback during coding section meetings, coding education in-services, and coder/CDMP meetings. Takes initiative to assist others and shares knowledge with the coding group and business partners on official coding guidelines.

SERVICE ESSENTIAL FUNCTIONS

Responds promptly to internal and external customer coding/DRG requests. Responds promptly to Business Office requests to code or review coded accounts for accuracy. Identifies and anticipates customer requirements, expectations, and needs. Provides assistance to the leadership team or other coders with coding of the accounts or answering questions from other coders relating to coding and work flows.
Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG assignment, sequencing of diagnoses and procedures, and coding and documentation training.
Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding, identifies opportunities for improvements, and makes recommendations for optimal enhancements.
Assists Case Management and Patient Access Departments in providing appropriate CPT codes for pre-admission and pre-certification requirements including the inpatient only process. Assists in the development of documentation protocols for physicians. Represents the coding area in Hospital meeting/events when necessary (e.g., Performance Improvement Committees).

QUALITY/SAFETY ESSENTIAL FUNCTIONS

Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
Performs accurate, optimal DRG and APC assignment, in accordance with nationally established rules and guidelines based upon documentation within the medical record.
Reviews discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data.
Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) abstracting system to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures.
Assists with quality reviews of outpatient or inpatient accounts and/or training of new coders. Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
Aggregates data from reviews and compiles reports for HIM management.

FINANCE ESSENTIAL FUNCTIONS

Utilizes time effectively. Consistently codes and abstracts at departmental standards of productivity while ensuring accuracy of coding. Ensures work flows and worklists are reviewed or monitored in order to identify old uncoded accounts or problem accounts.
Assists in making sure coding bill hold goal is met. Maintains coding timeframes within acceptable guidelines by ensuring all work items assigned to the coding queues and worklists are processed in a timely manner.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve. Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data.

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

Uniform: No
Scrubs: No
Business professional: Yes
Other (department approved): No

ON-CALL*

*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.

On Call* No

TRAVEL**

Travel specifications may vary by department

May require travel within the Houston Metropolitan area Yes
May require travel outside Houston Metropolitan area Yes

QUALIFICATIONS

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 addition to the minimum experience requirements listed below) required in lieu of degree

EXPERIENCE

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

LICENSES AND CERTIFICATIONS

Required

For inpatient/outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is required
For professional fee coding: CPC from AAPC is required

Company Profile:

Houston Methodist is one of the nation’s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!

Houston Methodist is an Equal Opportunity Employer.

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