Remote Medical Coding Quality Auditor

Cognizant; Madison (WI); Remote; USD 63,000 - 71,000; Full time

Job summary

Cognizant is seeking a Medical Coding Quality Auditor for a fully remote role. You will ensure coding accuracy, compliance, and quality across healthcare records, collaborating with clinicians to support accurate documentation and regulatory compliance.

The role requires coding certifications and experience with ICD-10-CM, CPT, HCPCS, and encoder software. You will perform audits, report findings, and maintain high accuracy and productivity while working remotely.

Qualifications

• High school diploma or equivalent; additional degrees preferred.
• Strong knowledge of ICD-10-CM, CPT, HCPCS guidelines.
• Experience reviewing medical documentation and assigning codes.

Responsibilities

• Review medical documentation to assign accurate diagnosis and procedure codes.
• Communicate with physicians to clarify diagnoses and procedures via queries.
• Assign codes using encoder applications per policies and guidelines.
• Perform peer reviews and quality audits of HIM coders.
• Prepare audit findings and reports as requested.
• Monitor coding quality and ensure compliance with standards.
• Maintain a 98% coding accuracy rate while meeting productivity targets.
• Meet productivity and turnaround time requirements.

Skills

Attention to detail

Analytical skills

Effective communication with providers

Regulatory knowledge

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Electronic encoder applications

Coding software

Job description

Cognizant is seeking a Medical Coding Quality Auditor for a fully remote role. You will ensure coding accuracy, compliance, and quality across healthcare records, collaborating with clinicians to support accurate documentation and regulatory compliance.

The role requires coding certifications and experience with ICD-10-CM, CPT, HCPCS, and encoder software. You will perform audits, report findings, and maintain high accuracy and productivity while working remotely.