Remote Medical Coding Quality Auditor

Cognizant; Olympia (WA); 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 in a remote work environment. You will review documentation, query physicians, and apply ICD-10-CM, CPT, and HCPCS codes while upholding a 98% accuracy target.

Responsibilities include performing audits, preparing reports, and ensuring adherence to regulatory requirements. The role offers full remote work with flexible arrangements and ongoing wellbeing programs.

Qualifications

• High school diploma or equivalent; degree preferred.
• CPC, CCS, RHIT, RHIA or other coding certification.
• Experience reviewing medical documentation and assigning diagnosis and procedure 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 questions.
• Strong attention to detail and analytical skills; maintain high 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 per company policies and guidelines.
• Perform peer reviews and quality audits of HIM coding auditors and coders.
• Prepare and complete audit reports and deliverables as requested.
• Monitor coding quality and ensure adherence to compliance standards.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity and performance expectations.
• Consistently meet productivity goals and turnaround time requirements.

Skills

ICD-10-CM guidelines

CPT guidelines

HCPCS guidelines

Medical coding accuracy

Query communications

Analytical skills

Attention to detail

Productivity standards

Education

High school diploma

Associate's or Bachelor's degree

Tools

Encoder software

Coding software

Job description

Cognizant is seeking a Medical Coding Quality Auditor to ensure accuracy, compliance, and quality across healthcare records in a remote work environment. You will review documentation, query physicians, and apply ICD-10-CM, CPT, and HCPCS codes while upholding a 98% accuracy target.

Responsibilities include performing audits, preparing reports, and ensuring adherence to regulatory requirements. The role offers full remote work with flexible arrangements and ongoing wellbeing programs.