Inpatient Medical Coding Auditor

Cognizant; Columbia (SC); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare solutions provider is seeking an Inpatient Medical Coding Auditor. This role involves auditing records for accuracy and compliance, communicating with healthcare professionals, and mentoring clients on coding standards. Applicants should have CCS, RHIT or RHIA certification and at least five years of experience. This position offers a competitive salary range of $35.00 - $40.00 per hour, with remote work options available.

Benefits

Medical/Dental/Vision/Life Insurance

Paid Time Off

401(k) plan

Paid Parental Leave

Qualifications

• Expertise in auditing with experience in coding.
• Ability to work both independently and as part of a team.
• Strong organizational and multi-tasking abilities.

Responsibilities

• Audit inpatient medical records for accuracy.
• Communicate with physicians to clarify diagnoses.
• Maintain productivity expectations based on project requirements.

Skills

CCS, RHIT or RHIA certification

APR DRG experience

5 years auditing experience

Knowledge of regulations

Interpreting medical records

Teamwork skills

Decision-making skills

Computer proficiency

Organizational skills

Communication skills

Flexibility and adaptability

MS Office proficiency

Job description

Overview

About the role

As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams.

In this role, you will:

Responsibilities

• Review ICD-10 inpatient patient records for accuracy and compliance
• Review physician documentation to verify diagnosis and procedures
• Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process
• Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, 3M, in accordance with practice policy and regulatory guidelines
• Complete reports as requested
• Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company’s clients in coding, billing and compliance
• Perform Peer Reviews of Company Health Information Management coding auditors and coders
• Assure that services provided to Clients of Company are current and up-to-date with industry standards
• Conduct other reviews, audits and other tasks at the direction of Company for which Employee has skills and knowledge
• Maintain minimum accuracy rate of at least 98% while meeting internal productivity standards set by company
• Maintain productivity expectations as set per project

We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.

What you need to have to be considered

• CCS, RHIT or RHIA (AHIMA) certification
• APR DRG experience
• Minimum of five years of facility-based auditing experience with an additional two years of coding experience or ten years of coding experience
• Knowledge of Federal, state and payer regulations
• Capable of interpreting medical records reports and chart entries
• Able to work independently and as a team member
• Capable of applying judgment and decision making
• Basic background with computers with ability to be in multiple systems at 1 time
• Self-motivated with ability to work autonomously and in a team in a fast-paced environment
• Interacting with manager/team members on scheduled time off and breaks and new procedures and policies as provided by the client is essential
• Well organized and able to handle multipole projects as needed
• Strong oral and written communication skills
• Able to be flexible and adaptable to change
• Proficiency in MS Office applications including Word, Excel and Outlook

These will help you stand out

• EPIC experience
• 3M 360 experience
• ICD-10 Certified Trainer/Ambassador

We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.

Salary and Other Compensation

Salary: The annual salary for this position is between $35.00 - $40.00 depending on the experience and other qualifications of the successful candidate. Applications will be accepted until October 10th, 2025.

This position is also eligible for Cognizant’s discretionary annual incentive program and stock awards, based on performance and subject to the terms of Cognizant’s applicable plans.

Benefits

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan

Disclaimer

The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.

Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.