Remote Medical Coding Quality Auditor

Cognizant; Augusta (ME); Remote; USD 63,000 - 71,000; Full time

Benefits offered by this job

Remote work

Job summary

Cognizant is hiring a Medical Coding Quality Auditor to ensure accurate and compliant coding across healthcare records. This fully remote role partners with clinicians to support accurate documentation and regulatory compliance while maintaining high quality and productivity in a remote environment.

You will review docs, query physicians, and ensure codes meet ICD-10-CM, CPT, and HCPCS guidelines, with a focus on 98% accuracy and timely delivery.

Qualifications

• 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 codes.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS guidelines.
• Experience utilizing encoder applications and coding software.

Responsibilities

• 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 reports, audit findings, and deliverables as requested.
• Monitor coding quality and compliance standards.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity goals.
• Meet productivity and turnaround time requirements.

Skills

Attention to detail

Analytical skills

Effective communication

Regulatory knowledge

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Electronic encoder applications

Coding software

Job description

Cognizant is hiring a Medical Coding Quality Auditor to ensure accurate and compliant coding across healthcare records. This fully remote role partners with clinicians to support accurate documentation and regulatory compliance while maintaining high quality and productivity in a remote environment.

You will review docs, query physicians, and ensure codes meet ICD-10-CM, CPT, and HCPCS guidelines, with a focus on 98% accuracy and timely delivery.