Remote Medical Coding Quality Auditor

Cognizant; Dover (DE); Presencial; EUR 56.000 - 63.000; Jornada completa

Descripción de la vacante

Cognizant is seeking a Medical Coding Quality Auditor to ensure coding accuracy and regulatory compliance across healthcare records. This remote role involves collaborating with physicians, performing audits, and delivering reports while maintaining high accuracy and productivity.

You will review documentation, assign codes using encoder tools, and communicate to clarify diagnoses and procedures, with emphasis on ICD-10-CM, CPT, and HCPCS guidelines.

Formación

• 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 diagnosis and procedure codes.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Experience utilizing electronic encoder applications and coding software.
• Knowledge of healthcare regulatory and compliance requirements.
• Ability to effectively communicate with physicians to resolve documentation and coding questions.
• Strong attention to detail and analytical skills.
• Proven ability to maintain high accuracy and productivity standards.

Responsabilidades

• 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 coders.
• Prepare reports, audit findings, and other deliverables.
• Monitor coding quality and adherence to compliance standards.
• Maintain a minimum coding accuracy rate of 98% and meet productivity goals.
• Meet turnaround time requirements.

Conocimientos

Coding quality

ICD-10-CM knowledge

CPT coding knowledge

HIM documentation

Attention to detail

Analytical skills

Communication with physicians

Regulatory compliance

Educación

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Coding certifications (CPC/CCS/RHIT/RHIA)

Herramientas

Electronic encoder applications

Coding software

Descripción del empleo

Cognizant is seeking a Medical Coding Quality Auditor to ensure coding accuracy and regulatory compliance across healthcare records. This remote role involves collaborating with physicians, performing audits, and delivering reports while maintaining high accuracy and productivity.

You will review documentation, assign codes using encoder tools, and communicate to clarify diagnoses and procedures, with emphasis on ICD-10-CM, CPT, and HCPCS guidelines.