Remote Medical Coding Quality Auditor

Cognizant; Salt Lake City (UT); 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 environment. You will collaborate with coding professionals and physicians to support accurate documentation and regulatory compliance.

The role emphasizes maintaining high accuracy (98%+) and productivity targets while utilizing encoder applications and knowledge of ICD-10-CM, CPT, and HCPCS. CPC/CCS/RHIT/RHIA certifications are preferred.

Qualifications

• High school diploma required; Associate's or Bachelor's preferred.
• CPC, CCS, RHIT, RHIA or other coding certification preferred.
• Experience reviewing medical documentation and assigning diagnosis and procedure codes.

Responsibilities

• Review medical documentation to assign diagnosis and procedure codes.
• Communicate with physicians via coding query process to obtain/clarify diagnoses and procedures.
• Assign codes using encoder applications according to company policies and coding 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 and best practices.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity and performance targets.
• Meet turnaround time requirements consistently.

Skills

Medical coding

Attention to detail

Analytical skills

Regulatory compliance

Communication with physicians

Education

High school diploma or equivalent; associate's/bachelor's 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 environment. You will collaborate with coding professionals and physicians to support accurate documentation and regulatory compliance.

The role emphasizes maintaining high accuracy (98%+) and productivity targets while utilizing encoder applications and knowledge of ICD-10-CM, CPT, and HCPCS. CPC/CCS/RHIT/RHIA certifications are preferred.