Remote ED Coder: Precision, Compliance & Audit Lead

Cognizant; Salem (OR); Remote; USD 63,000 - 71,000; Full time

Job summary

Cognizant is seeking an Emergency Department Coder to ensure accurate medical coding across outpatient surgery, observation, ED, and diagnostic encounters. You will query physicians for clarifications and use encoder tools to code per regulations.

You will perform peer audits, deliver coding audit reports, and maintain a 98% accuracy rate while meeting productivity targets in a remote work setting.

Qualifications

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

Responsibilities

• Review clinical documentation and accurately assign diagnosis and procedure codes for outpatient surgery, observation, ED, and outpatient diagnostic encounters.
• Communicate with physicians and clinical staff to obtain clarification on diagnoses and procedures through the coding query process.
• Utilize encoder applications to assign accurate codes in accordance with policies and regulatory guidelines.
• Perform peer reviews and quality audits of coding professionals to ensure 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

Outpatient Coding

Coding Audits

ICD-10-CM, CPT, HCPCS

Query Communication

Tools

Encoder Apps

Coding Systems

Job description

Cognizant is seeking an Emergency Department Coder to ensure accurate medical coding across outpatient surgery, observation, ED, and diagnostic encounters. You will query physicians for clarifications and use encoder tools to code per regulations.

You will perform peer audits, deliver coding audit reports, and maintain a 98% accuracy rate while meeting productivity targets in a remote work setting.