Remote Medical Coding Quality Auditor

Cognizant; Santa Fe (NM); Remote; USD 63,000 - 71,000; Full time

Benefits offered by this job

Discretionary annual incentive

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

Responsibilities include reviewing documentation, querying physicians, applying encoder tools, and conducting audits to maintain 98% accuracy while meeting productivity targets.

Qualifications

• High school diploma or equivalent required; associate or bachelor’s 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.

Responsibilities

• Review medical documentation to accurately assign diagnosis and procedure codes.
• Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the coding query process.
• Assign accurate codes using electronic encoder applications in accordance with company policies, coding guidelines, and regulatory requirements.
• Perform peer reviews and quality audits of Health Information Management coding auditors and coders.
• Prepare and complete reports, audit findings, and other deliverables as requested.
• Monitor coding quality and ensure adherence to compliance standards and best practices.
• Maintain a minimum coding accuracy rate of 98% while meeting established productivity and performance expectations.
• Consistently meet productivity goals and turnaround time requirements.

Skills

Attention to detail

Analytical skills

Communication with physicians

High level of accuracy

Education

High School Diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Electronic encoder applications

Coding software

ICD-10-CM CPT HCPCS guidelines

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

Responsibilities include reviewing documentation, querying physicians, applying encoder tools, and conducting audits to maintain 98% accuracy while meeting productivity targets.