Remote ED Coder & Compliance Auditor

Cognizant; Jackson (MS); Remote; USD 63,000 - 71,000; Full time

Job summary

Cognizant seeks an Emergency Department Coder to ensure accuracy, quality, and regulatory compliance of medical coding across outpatient settings. You will collaborate with coding professionals, physicians, and HIM staff to support revenue cycle excellence.

This fully remote role requires CPC or CCS certification and experience coding ED, outpatient surgery, and diagnostic encounters, with ICD-10-CM, CPT, HCPCS knowledge and encoder tool use.

Qualifications

• Certified CPC, CCS, or equivalent coding certification.
• Experience coding and auditing outpatient, observation, ED, and outpatient diagnostic encounters.
• Strong knowledge of ICD-10-CM, CPT, HCPCS and applicable regulatory guidelines.
• Experience using electronic encoder applications and coding systems.
• Ability to interpret complex clinical documentation and communicate with physicians about coding queries.
• Proven ability to meet productivity goals while maintaining 98% accuracy.

Responsibilities

• Review clinical documentation and assign diagnosis and procedure codes for outpatient surgery, observation, emergency department, and outpatient diagnostic encounters.
• Communicate with physicians and staff to obtain clarification on diagnoses and procedures via coding queries.
• Utilize encoder applications and coding tools to assign codes per policies and regulatory guidelines.
• Perform peer reviews and quality audits of coding professionals for accuracy and compliance.
• Prepare and deliver coding audit reports, findings, and recommendations to leadership.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity standards.

Skills

CPC certification

CCS certification

ICD-10-CM CPT HCPCS

Coding audits

Coding queries

Regulatory guidelines

Encoder software

Education

Certified Professional Coder (CPC)

Certified Coding Specialist (CCS)

Equivalent coding certification

Tools

Electronic encoder applications

Healthcare coding systems

Job description

Cognizant seeks an Emergency Department Coder to ensure accuracy, quality, and regulatory compliance of medical coding across outpatient settings. You will collaborate with coding professionals, physicians, and HIM staff to support revenue cycle excellence.

This fully remote role requires CPC or CCS certification and experience coding ED, outpatient surgery, and diagnostic encounters, with ICD-10-CM, CPT, HCPCS knowledge and encoder tool use.