Remote Medical Coding Quality Auditor

Cognizant; Hartford (CT); Remote; USD 63,000 - 71,000; Full time

Job summary

Cognizant is seeking a Medical Coding Quality Auditor to ensure accuracy and compliance across healthcare records in a fully remote role. You will work with clinicians to support precise documentation and regulatory adherence while maintaining productivity.

Responsibilities include reviewing documentation, conducting audits, and querying physicians to resolve coding questions, all while sustaining a 98% accuracy rate and timely deliverables. A reliable home workspace is required.

Qualifications

• High school diploma or equivalent; Associate's or Bachelor's degree preferred.
• CPC, CCS, RHIT, RHIA, or other 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 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.

Responsibilities

• Review medical documentation to accurately assign diagnosis and procedure codes.
• Communicate with physicians and other providers 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 and complete reports, audit findings, and other deliverables.
• Monitor coding quality and ensure compliance with standards.
• Maintain a minimum coding accuracy rate of 98% and meet productivity goals.
• Meet turnaround time requirements.

Skills

ICD-10-CM

CPT/HCPCS

Encoder software

Physician comms

Detail oriented

Auditing experience

Education

Coding certification (CPC/CCS/RHIT/RHIA)

High school diploma

Associates or Bachelor's preferred

Tools

Electronic encoder applications

Job description

Cognizant is seeking a Medical Coding Quality Auditor to ensure accuracy and compliance across healthcare records in a fully remote role. You will work with clinicians to support precise documentation and regulatory adherence while maintaining productivity.

Responsibilities include reviewing documentation, conducting audits, and querying physicians to resolve coding questions, all while sustaining a 98% accuracy rate and timely deliverables. A reliable home workspace is required.