Remote Medical Coding Quality Auditor | 98% Accuracy Focus

Cognizant; Baton Rouge (LA); 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 fully remote role. You will review documentation, query physicians for clarification, and apply ICD-10-CM, CPT, and HCPCS codes using encoder software while maintaining high accuracy and productivity.

The ideal candidate holds CPC/CCS/RHIT/RHIA certification, a high school diploma or higher, and experience with coding guidelines and regulatory requirements.

Qualifications

• High school diploma or equivalent; Associate's or Bachelor's degree preferred.
• CPC, CCS, RHIT, RHIA, or other relevant 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 electronic encoder applications and coding software.
• Knowledge of healthcare regulatory and compliance requirements.

Responsibilities

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

Skills

ICD-10-CM knowledge

CPT & HCPCS knowledge

Communication with physicians

Analytical skills

Attention to detail

Regulatory compliance

Education

CPC/CCS/RHIT/RHIA certification

High school diploma or equivalent; Associate/Bachelor preferred

Tools

Electronic encoder software

Coding software

Job description

Cognizant is seeking a Medical Coding Quality Auditor to ensure coding accuracy, compliance, and quality across healthcare records in a fully remote role. You will review documentation, query physicians for clarification, and apply ICD-10-CM, CPT, and HCPCS codes using encoder software while maintaining high accuracy and productivity.

The ideal candidate holds CPC/CCS/RHIT/RHIA certification, a high school diploma or higher, and experience with coding guidelines and regulatory requirements.