Remote Medical Coding Quality Auditor

Cognizant; Lansing (MI); Remote; USD 63,000 - 71,000; Full time

Benefits offered by this job

Discretionary annual incentive program

Job summary

Cognizant is hiring a Medical Coding Quality Auditor for a fully remote role in the United States. You will review documentation, query physicians for clarification, and assign codes using encoder software in line with guidelines and regulations. You will also conduct peer reviews and produce audit reports.

The role emphasizes maintaining a 98% accuracy rate, meeting productivity targets, and contributing to regulatory compliance and quality initiatives within a remote, flexible work environment.

Qualifications

• High school diploma or equivalent; degree preferred.
• CPC, CCS, RHIT, RHIA, or other coding certification.
• Experience reviewing medical documentation and assigning codes.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS guidelines.

Responsibilities

• Review medical documentation to accurately assign codes.
• Communicate with physicians to clarify diagnoses and procedures.
• Assign codes using encoder applications per policies and guidelines.
• Perform peer reviews and quality audits of HIM coders.
• Prepare audit reports and deliverables.
• Monitor coding quality and compliance standards.
• Maintain coding accuracy rate of 98% while meeting productivity goals.
• Meet productivity and turnaround time requirements.

Skills

Coding accuracy

Documentation review

ICD-10-CM knowledge

CPT knowledge

Communication with physicians

Analytical skills

Attention to detail

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

CPC/CCS/RHIT/RHIA or coding certification

Tools

Coding software

Electronic encoder apps

Job description

Cognizant is hiring a Medical Coding Quality Auditor for a fully remote role in the United States. You will review documentation, query physicians for clarification, and assign codes using encoder software in line with guidelines and regulations. You will also conduct peer reviews and produce audit reports.

The role emphasizes maintaining a 98% accuracy rate, meeting productivity targets, and contributing to regulatory compliance and quality initiatives within a remote, flexible work environment.