Jobs in the United States

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Added 9 mins ago
Coder, Clinical Documentation
RHC Group Management LLC
Nashville, TN
A minimum of 3 years of experience in advanced professional coding; HCC coding experience required
Added 32 mins ago
A
VA Outpatient Medical Coder
Amergis
Independence, OH
- $25 USD / hour
The Veterans Affairs (VA) Outpatient Medical Coder is
Added 34 mins ago
Clinical Documentation Specialist - Remote
Trinity Health
Columbus, OH
In the absence of a college degree, must have 3 or more years’ experience as an inpatient coder or clinical documentation specialist
Added 2 hours ago
Coding Inpatient Auditor
AdventHealth
Maitland, FL
5+ years of inpatient of outpatient coding or auditing experience [Required]
Added 2 hours ago
Coding Education Coordinator and Trainer
AdventHealth
Altamonte Springs, FL
Develop and deliver individualized education plans based on coder performance, audit findings, and identified gaps
Added 2 hours ago
Senior Coding Auditor
AdventHealth
Altamonte Springs, FL
Conduct pre-bill high-risk audits across inpatient and/or outpatient encounters targeting complex, high-acuity, and high impact cases
Added 2 hours ago
Outpatient Coder Surgery and Observation
AdventHealth
Altamonte Springs, FL
One certification is required
Added 2 hours ago
Coding Operations Manager
AdventHealth
Altamonte Springs, FL
The Manager, Coding Operations, leads inpatient and/or outpatient coding operations across assigned service lines, ensuring accurate and timely coding performance that supports appropriate…
Added 2 hours ago
Coding Auditor
AdventHealth
Orlando, FL
Conducts post-bill coding audits to assess coding accuracy, documentation alignment, and reimbursement integrity across inpatient and/or outpatient service lines.
Added 2 hours ago
Inpatient Coder
Houston Methodist
Miami, FL
Must have one of the following:
Added 2 hours ago
Coding Quality Auditor
Houston Methodist
Miami, FL
…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 2 hours ago
VH
Medical Records Technician (Coder Outpatient )
Veterans Health Administration
Remote, United States
- $36,409 to $72,644 USD / year
The Medical Records Technician (Coder - Outpatient) position is located in the Health Information Management Services (HIMS) section within the Health Administration Service. The MRTs…
Added 3 hours ago
Inpatient Coder
Houston Methodist
New Orleans, LA
Must have one of the following:
Added 3 hours ago
Coding Quality Auditor
Houston Methodist
New Orleans, LA
…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 3 hours ago
VH
Medical Records Administrator-Chief of Health Information Management (CHIM)
Veterans Health Administration
White River Junction, VT
- $101,375 to $131,790 USD / year
…Specialist (CCS) - Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), and Certified Inpatient Coder…
Added 4 hours ago
CH
Coder II Professional Fee
CommonSpirit Health
Englewood, CO
- $26.82 to $44.26 USD / hour
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 6 hours ago
BH
Inpatient Coder II - Part Time
BJC HealthCare
Saint Louis, MO
- $21.58 to $35.84 USD / hour
- Part-time
BJC is hiring for a Inpatient Coder II. This is a part time position. We are looking for 2-5 years of Inpatient Coding experience. This is a remote position. One of the following…
Added 7 hours ago
Coding Quality Auditor
Houston Methodist
Bellaire, TX
…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 7 hours ago
Inpatient Coder
Houston Methodist
Bellaire, TX
Must have one of the following:
Added 7 hours ago
Inpatient Coder
Houston Methodist
Houston, TX
Must have one of the following:
Added 7 hours ago
Coding Quality Auditor
Houston Methodist
Houston, TX
…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 14 hours ago
UG
Senior Inpatient Acute Edits Medical Coder
UnitedHealth Group
Eden Prairie, MN
- $24 to $43 USD / hour
…approach to care. As a Certified Sr. (IP) Acute Edits Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records…
Added 14 hours ago
Clinical Documentation Specialist - Remote
Mount Carmel Health System
United States
In the absence of a college degree, must have 3 or more years’ experience as an inpatient coder or clinical documentation specialist
Added 14 hours ago
DRG Coding Auditor - MS-DRG and APR-DRG
The Elevance Health Companies, Inc.
United States
…recoveries may be available, such as re-admissions, Inpatient to Outpatient, and…
Added 15 hours ago
Inpatient/Outpatient Coder - PRN
AVEM BUSINESS SOLUTIONS LLC
Remote, United States
CCS certification is required

Houston Methodist

Coding Quality Auditor

Bellaire, TX, 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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Jobs in the United States