Remote Medical Coding Quality Auditor

Cognizant; Richmond (VA); 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 coding accuracy, compliance, and quality across healthcare records in a remote setting. You will collaborate with coding professionals and physicians to support accurate clinical documentation and regulatory compliance.

Responsibilities include reviewing documentation, assigning codes with encoder applications, performing peer reviews, and preparing audit reports.

Qualifications

• High school diploma or equivalent; associate/bachelor degree preferred.
• CPC, CCS, RHIT, RHIA or other coding certification.
• Experience reviewing medical documentation and coding.
• Knowledge of ICD-10-CM, CPT, HCPCS.
• Experience with encoder applications.
• Strong communication with physicians to resolve documentation and coding questions.
• Attention to detail and analytical skills.
• Proven ability to maintain high accuracy and productivity.

Responsibilities

• Review medical documentation to assign diagnosis and procedure codes.
• Communicate with physicians to obtain or clarify diagnoses and procedures.
• Assign accurate codes using encoder applications.
• Perform peer reviews and quality audits of HIM coding auditors and coders.
• Prepare and complete audit reports and deliverables.
• Monitor coding quality and ensure compliance with standards.
• Maintain a minimum coding accuracy rate of 98% and meet productivity goals.
• Meet turnaround time requirements.

Skills

Communication

Attention to detail

Analytical skills

Coding accuracy

Productivity

Education

High school diploma or equivalent; Associate's or Bachelor's degree preferred.

Tools

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 setting. You will collaborate with coding professionals and physicians to support accurate clinical documentation and regulatory compliance.

Responsibilities include reviewing documentation, assigning codes with encoder applications, performing peer reviews, and preparing audit reports.