Remote Medical Coding Quality Auditor

Cognizant; Juneau (AK); Remote; USD 63,000 - 71,000; Full time

Job summary

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

Key duties include reviewing documentation, querying physicians for clarifications, assigning codes with encoder tools, and conducting peer reviews.

Qualifications

• 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 using 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.

Responsibilities

• Review medical documentation to accurately assign diagnosis and procedure codes.
• Communicate with physicians and other providers to obtain or clarify diagnoses and procedures via 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 and complete reports, audit findings, and other deliverables as requested.
• Monitor coding quality and ensure adherence to compliance standards and best practices.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity and performance goals.
• Consistently meet turnaround time requirements.

Skills

Attention to detail

Analytical skills

Communication with physicians

Productivity focus

Education

High school diploma

Associate's or Bachelor's degree preferred

Tools

Electronic encoder apps

Coding software

Job description

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

Key duties include reviewing documentation, querying physicians for clarifications, assigning codes with encoder tools, and conducting peer reviews.