Remote Medical Coding Quality Auditor

Cognizant; Helena (MT); 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. You will collaborate with coding professionals and physicians to support accurate clinical documentation and regulatory compliance in a remote work environment.

In this role you will review documentation to assign ICD-10-CM and CPT/HCPCS codes, perform audits, communicate with physicians for clarifications, and prepare reports on findings.

Qualifications

• High school diploma or equivalent; Associate 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 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.

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 and complete reports, audit findings, and other deliverables.
• Monitor coding quality and ensure compliance standards and best practices.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity targets.
• Meet productivity and turnaround time requirements.

Skills

ICD-10-CM knowledge

CPT knowledge

HCPCS knowledge

Encoder software

Attention to detail

Analytical skills

Communication with physicians

Education

Associate or Bachelor's degree preferred

CPC/CCS/RHIT/RHIA or coding certification

Tools

Electronic encoder software

Job description

Cognizant is seeking a Medical Coding Quality Auditor to ensure coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals and physicians to support accurate clinical documentation and regulatory compliance in a remote work environment.

In this role you will review documentation to assign ICD-10-CM and CPT/HCPCS codes, perform audits, communicate with physicians for clarifications, and prepare reports on findings.