Remote Medical Coding Quality Auditor

Cognizant; Montgomery (AL); 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 in a remote work setup. You will collaborate with coding professionals and physicians to support accurate documentation and regulatory compliance.

Responsibilities include reviewing documentation, obtaining clarifications via coding queries, applying codes using encoder software, and performing quality audits to maintain a 98% accuracy rate and meet productivity

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 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 communicate with physicians to resolve documentation and coding questions.
• Proven track record of accuracy and productivity.

Responsibilities

• Review medical documentation to accurately assign diagnosis and procedure codes.
• Communicate with physicians to obtain or clarify diagnoses and procedures through coding queries.
• Assign accurate codes using encoder applications according to 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 compliance with standards.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity goals.
• Meet turnaround time requirements.

Skills

ICD-10-CM knowledge

CPT knowledge

HCPCS knowledge

Attention to detail

Analytical skills

Communication with physicians

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Electronic encoder software

Job description

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

Responsibilities include reviewing documentation, obtaining clarifications via coding queries, applying codes using encoder software, and performing quality audits to maintain a 98% accuracy rate and meet productivity