IP coder

Cognizant; Helena (MT); À distance; USD 63 000 - 71 000; Plein temps

Résumé du poste

Cognizant is seeking a Medical Coding Quality Auditor to ensure coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals and physicians to support accurate clinical documentation and regulatory compliance in a remote work environment.

In this role you will review documentation to assign ICD-10-CM and CPT/HCPCS codes, perform audits, communicate with physicians for clarifications, and prepare reports on findings.

Qualifications

• High school diploma or equivalent; Associate or Bachelor's degree preferred.
• CPC, CCS, RHIT, RHIA, or other coding certification.
• Experience reviewing medical documentation and assigning diagnosis and procedure codes.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Experience utilizing electronic encoder applications and coding software.
• Knowledge of healthcare regulatory and compliance requirements.
• Ability to effectively communicate with physicians to resolve documentation and coding questions.
• Strong attention to detail and analytical skills.

Responsabilités

• Review medical documentation to accurately assign diagnosis and procedure codes.
• Communicate with physicians to obtain or clarify diagnoses and procedures.
• Assign accurate codes using encoder applications per policies and guidelines.
• Perform peer reviews and quality audits of HIM coding auditors and coders.
• Prepare and complete reports, audit findings, and other deliverables.
• Monitor coding quality and ensure compliance standards and best practices.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity targets.
• Meet productivity and turnaround time requirements.

Connaissances

ICD-10-CM knowledge

CPT knowledge

HCPCS knowledge

Encoder software

Attention to detail

Analytical skills

Communication with physicians

Formation

Associate or Bachelor's degree preferred

CPC/CCS/RHIT/RHIA or coding certification

Outils

Electronic encoder software

Description du poste

About the role

As a Medical Coding Quality Auditor, you will play a critical role in ensuring coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals and physicians to support accurate clinical documentation, regulatory compliance, and operational excellence while maintaining high quality and productivity standards in a remote work environment.

In this role, you will:

• Review medical documentation to accurately assign diagnosis and procedure codes.
• Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the coding query process.
• Assign accurate codes using electronic encoder applications in accordance with company policies, coding guidelines, and regulatory requirements.
• Perform peer reviews and quality audits of Health Information Management coding auditors and coders.
• Prepare and complete reports, audit findings, and other deliverables as requested.
• Monitor coding quality and ensure adherence to compliance standards and best practices.
• Maintain a minimum coding accuracy rate of 98% while meeting established productivity and performance expectations.
• Consistently meet productivity goals and turnaround time requirements.

Work model

Remote

At Cognizant, we strive to provide flexibility wherever possible and support a healthy work-life balance through our wellbeing programs.

This position is fully remote, allowing you to work from your home office while collaborating with cross-functional teams in a virtual environment. Candidates must have a reliable internet connection and a dedicated workspace that supports confidentiality and productivity requirements.

The working arrangements for this role are accurate as of the date of posting and may be subject to change based on business or client needs.

What you need to have to be considered

• High school diploma or equivalent; Associate's or Bachelor's degree preferred.
• CPC, CCS, RHIT, RHIA, or other relevant coding certification.
• Experience reviewing medical documentation and assigning diagnosis and procedure codes.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Experience utilizing electronic encoder applications and coding software.
• Knowledge of healthcare regulatory and compliance requirements.
• Ability to effectively communicate with physicians to resolve documentation and coding questions.
• Strong attention to detail and analytical skills.
• Proven ability to maintain high accuracy and productivity standards.

These will help you stand out

• Previous experience in coding quality auditing or peer review activities.
• Experience working within Health Information Management (HIM) departments.
• Knowledge of revenue cycle management and reimbursement methodologies.
• Experience developing or presenting coding education and feedback.
• Strong reporting and data analysis skills.

Salary and Other Compensation:

• Applications will be accepted until October 25, 2026.
• The annual salary for this position is between $63,000-$71,000 depending on experience and other
• qualifications of the successful candidate.
• This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and
• subject to the terms of Cognizant’s applicable plans.

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.