HIM Coding Auditor/Educator

Cook Children's Health Care System • Remote - TX, TX

2d • Remote

About The Position

The HIM Coding Auditor-Educator serves as a knowledge expert and leader for coding quality and education related to ICD-10-CM/PCS and CPT-4 classification systems. The role develops, coordinates, and maintains coding education and training programs based on audit findings, regulatory updates, identified knowledge gaps, and coding quality trends. It performs and analyzes inpatient and outpatient ICD-10-CM/PCS and CPT coding quality reviews to validate accurate DRG assignment, Severity of Illness, Present on Admission indicators, principal diagnosis, procedures, and reportable secondary diagnoses in accordance with official coding guidelines and organizational policies.

This is a remote position for candidates located in Texas. Employees must maintain their primary residence in Texas and keep all licenses and credentials required for the position throughout employment.

Requirements

• Bachelor’s degree in HIM, Business, or a related field is required.
• Three years of inpatient and outpatient coding experience, including one year auditing or leading projects, teams, or groups.
• Alternatively, in lieu of the education requirement, five years of inpatient and outpatient coding experience, including two years auditing or leading projects, teams, or groups.
• Strong knowledge of coding regulations and experience with regulatory compliance.
• RHIA, RHIT, or CCS certification is required.
• Must maintain primary residence in Texas and maintain all licenses and credentials required for the position.

Responsibilities

• Develop, coordinate, and maintain coding education and training programs based on audit findings, regulatory updates, identified knowledge gaps, and coding quality trends.
• Perform and analyze inpatient and outpatient ICD-10-CM/PCS and CPT coding quality reviews.
• Validate accurate DRG assignment, Severity of Illness, Present on Admission indicators, principal diagnosis, procedures, and reportable secondary diagnoses in accordance with official coding guidelines and organizational policies.
• Serve as a knowledge expert and leader for coding quality and education related to ICD-10-CM/PCS and CPT-4 classification systems.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level