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Coding Quality Assurance Specialist III

Company:
Texas Children's Hospital
Location:
Houston, TX, 77020
Posted:
March 31, 2026
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Description:

We're looking for a Coding Quality Assurance Specialist III, someone who's ready to grow with our company.

In this position you will assign and audit the accuracy of the ICD-10-CM and PCS codes to inpatient records for purposes of billing, research, and providing information to government and regulatory agencies.

Think you've got what it takes?

Job Duties & Responsibilities * Assigns ICD-10-CM, ICD-10-PCS, and DRG codes to hospital inpatient records.

* Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes.

* Communicates with and provides feedback to the education team and/or providers.

* Reviews patient charges to determine necessary coding to complete the account.

* Identifies principle and secondary diagnoses and procedure codes from the electronic medical record.

* Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and DRG codes for diagnosis and procedures.

* Sequences diagnosis and procedures to generate appropriate billing.

* Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials). * Assists other coders in resolving coding problems.

* Completes abstracts for records as appropriate.

* Assists in correction of problem accounts.

* Reviews charts for completeness.

* Participates in education and maintains certification.

* Assists in auditing records.

* Maintains concurrent coding for inpatient records.

Skills & Requirements * Required High School Diploma or equivalent * Requires one of the following Licenses/Certifications o CCA - Certified Coding Associate by the American Academy of Professional Coders (AAPC) o CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA) o CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA) o CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC) o COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC) o CPC - Cert-Cert Professional Coder by the by the American Academy of Professional Coders (AAPC) o CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) o RHIA - Cert-Reg Health Inform.

Admins by the American Health Information Management Association (AHIMA) o RHIT - Cert-Reg Health Inform.

TECH by the American Health Information Management Association (AHIMA) * Required 4 years coding experience with preferred experience using an encoder and experience using an electronic medical record Experience with Inpatient Hospital coding highly desired.

Strongly desired RHIT/RHIA & CCS certifications preferred.

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