Coding Quality Auditor - $5,000 Sign-On Bonus

Houston Methodist-posted 3 months ago
Franklin, GA
5,001-10,000 employees
Hospitals
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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.

  • 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.
  • Responds promptly to internal and external customer coding/DRG requests.
  • Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate.
  • Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding.
  • Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes.
  • Performs accurate, optimal DRG and APC assignment.
  • Reviews discharge disposition entered by nursing and corrects if necessary.
  • Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system.
  • Aggregates data from reviews and compiles reports for HIM management.
  • Utilizes time effectively and ensures work flows and worklists are reviewed or monitored.
  • Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve.
  • 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.
  • Five years of coding experience relevant to the area auditing (e.g., inpatient, outpatient, professional fee).
  • For inpatient/outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is required.
  • For professional fee coding: CPC from AAPC is required.
  • AHIMA designated ICD-10 Approved Trainer preferred.
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