Remote Medical Coding Quality Auditor

Cognizant; Boise (ID); Remote; USD 63,000 - 71,000; Full time

Job summary

Cognizant is seeking a Medical Coding Quality Auditor to ensure coding accuracy, compliance, and quality across healthcare records in a fully remote role. You will collaborate with coding professionals and physicians to support accurate clinical documentation and regulatory compliance while maintaining high quality and productivity standards.

You will review documentation, query physicians as needed, and apply codes using encoder software in line with policies.

Qualifications

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

Responsibilities

• Review medical documentation to accurately assign diagnosis and procedure codes.
• Communicate with physicians to clarify diagnoses and procedures through coding queries.
• Assign accurate codes using encoder applications in line with policies and guidelines.
• Perform peer reviews and quality audits of HIM coding auditors and coders.
• Prepare reports, audit findings, and other deliverables.
• Monitor coding quality and ensure compliance with standards.
• Maintain minimum coding accuracy of 98% while meeting productivity targets.
• Meet productivity goals and turnaround times.

Skills

Attention to detail

Analytical skills

High accuracy

Productivity

Communication with physicians

Education

High school diploma or equivalent; Associate's or Bachelor's degree preferred.

Coding certifications (CPC/CCS/RHIT/RHIA or equivalent)

Tools

Electronic encoder applications

Job description

Cognizant is seeking a Medical Coding Quality Auditor to ensure coding accuracy, compliance, and quality across healthcare records in a fully remote role. You will collaborate with coding professionals and physicians to support accurate clinical documentation and regulatory compliance while maintaining high quality and productivity standards.

You will review documentation, query physicians as needed, and apply codes using encoder software in line with policies.