Remote Facility Coder – Inpatient & Outpatient

Cognizant; Salem (OR); Remote; USD 47,000 - 49,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays plus PTO

401(k) plan and contributions

Long-term/Short-term Disability

Parental Leave

Stock Purchase Plan

Job summary

Cognizant is seeking an Inpatient and Outpatient Facility Coder to review and assign accurate diagnosis and procedure codes across inpatient, outpatient, ED, and surgical records. You will collaborate with physicians and auditors to ensure regulatory compliance and quality outcomes.

You will use ICD-10-CM/PCS, MS-DRG, CPT, and HCPCS coding systems, maintain a 98% accuracy rate, and stay current with guidelines and reimbursement methodologies.

Qualifications

• AHIMA CCS or CPC certification required.
• Minimum of three years of facility-based coding experience with ICD-10-CM, ICD-10-PCS, MS-DRG, CPT, and HCPCS.
• Level-1 Trauma coding experience required.
• Experience coding both inpatient and outpatient facility records.
• Strong understanding of inpatient MS-DRG assignment and outpatient reimbursement methodologies.
• Experience coding Emergency Department, Ambulatory Surgery, Interventional, and Ancillary service records.
• Experience utilizing electronic coding encoders and facility coding workflows.
• Knowledge of Federal, State, and payer regulations.
• Capable of interpreting medical records, operative reports, diagnostic results, and chart documentation.
• Able to work independently and as a team member.
• Capable of applying judgment and decision making.
• Basic computer proficiency with the ability to work in multiple systems simultaneously.
• Self-motivated with the ability to work autonomously and in a fast-paced environment.
• Well organized and able to manage multiple projects.
• Strong oral and written communication skills.
• Able to be flexible and adaptable to change.
• Proficiency in Microsoft Office applications including Word, Excel, and Outlook.

Responsibilities

• Review medical documentation and assign accurate diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, MS-DRG, CPT, and HCPCS coding systems.
• Interpret inpatient, outpatient, emergency department, ancillary testing, and ambulatory surgery records for coding accuracy and compliance.
• Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the query process.
• Assign codes utilizing an electronic encoder application in accordance with practice policies, regulatory requirements, and coding guidelines.
• Perform Peer Reviews of Company Health Information Management coding auditors and coders.
• Complete reports and documentation as requested.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity expectations established by the company.
• Stay current with coding guidelines, reimbursement methodologies, regulatory updates, and industry best practices.
• Support quality improvement initiatives through coding reviews, audits, and education.
• Conduct other reviews, audits, and coding-related duties as assigned.
• Maintain productivity expectations as established for each project and record type.

Skills

Communication skills

Multitasking

Self-motivated

Adaptability

Education

AHIMA CCS or CPC certification

Tools

ICD-10-CM/PCS, MS-DRG, CPT, HCPCS

Job description

Cognizant is seeking an Inpatient and Outpatient Facility Coder to review and assign accurate diagnosis and procedure codes across inpatient, outpatient, ED, and surgical records. You will collaborate with physicians and auditors to ensure regulatory compliance and quality outcomes.

You will use ICD-10-CM/PCS, MS-DRG, CPT, and HCPCS coding systems, maintain a 98% accuracy rate, and stay current with guidelines and reimbursement methodologies.