Remote Medical Coding Quality Auditor

Cognizant; City of Albany (NY); Remote; USD 63,000 - 71,000; Full time

Job summary

Cognizant is hiring a Medical Coding Quality Auditor to ensure accuracy, compliance, and quality across healthcare records. This remote role collaborates with coding professionals and physicians to support precise clinical documentation and regulatory adherence.

You will review documentation, query physicians, assign codes with encoder software, and conduct peer reviews. A 98% accuracy target and productivity expectations are essential.

Qualifications

• CPC/CCS/RHIT/RHIA or equivalent coding certification.
• Experience reviewing medical documentation and assigning diagnosis & procedures.
• Strong knowledge of ICD-10-CM, CPT, HCPCS guidelines.

Responsibilities

• Review medical documentation to assign accurate diagnosis and procedure codes.
• Query physicians to clarify or obtain diagnoses and procedures.
• Assign codes using encoder applications per policies and regs.
• Perform peer reviews and audits of HIM coding staff.
• Prepare audit reports and deliverables; monitor coding quality.
• Maintain minimum coding accuracy of 98% and meet productivity targets.
• Meet turnaround times consistently.

Skills

ICD-10-CM CPT HCPCS guidelines

Medical coding & documentation review

Communication with physicians

Attention to detail & accuracy

Regulatory compliance

Auditing & quality reporting

Education

CPC/CCS/RHIT/RHIA certification

High school diploma; Associate/Bachelor preferred

Tools

Electronic encoder applications

Coding software

Job description

Cognizant is hiring a Medical Coding Quality Auditor to ensure accuracy, compliance, and quality across healthcare records. This remote role collaborates with coding professionals and physicians to support precise clinical documentation and regulatory adherence.

You will review documentation, query physicians, assign codes with encoder software, and conduct peer reviews. A 98% accuracy target and productivity expectations are essential.