Remote Medical Coding Quality Auditor

Cognizant; New York (NY); Remote; USD 63,000 - 71,000; Full time

Benefits offered by this job

Discretionary annual incentive program

Job summary

Cognizant is seeking a Medical Coding Quality Auditor to ensure accurate coding, compliance, and quality across healthcare records in a fully remote role. You will collaborate with clinicians to support proper documentation, regulatory adherence, and operational excellence while maintaining productivity.

Key duties include reviewing documentation to assign ICD-10-CM, CPT, and HCPCS codes, performing peer reviews, generating audit reports, and monitoring coding quality to meet a 98% accuracy

Qualifications

• Knowledge of ICD-10-CM, CPT, HCPCS coding guidelines.
• Experience reviewing medical documentation and assigning codes.
• Ability to communicate with physicians to resolve documentation questions.

Responsibilities

• Review medical documentation to accurately assign diagnosis and procedure codes.
• Communicate with physicians to obtain or clarify diagnoses and procedures through the coding query process.
• Assign accurate codes using encoder applications in accordance with policies and regulations.
• 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 adherence to compliance standards and best practices.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity and performance expectations.
• Consistently meet productivity goals and turnaround times.

Skills

ICD-10-CM knowledge

CPT knowledge

HCPCS knowledge

Communication with physicians

Attention to detail

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 to ensure accurate coding, compliance, and quality across healthcare records in a fully remote role. You will collaborate with clinicians to support proper documentation, regulatory adherence, and operational excellence while maintaining productivity.

Key duties include reviewing documentation to assign ICD-10-CM, CPT, and HCPCS codes, performing peer reviews, generating audit reports, and monitoring coding quality to meet a 98% accuracy