Remote Medical Coding Quality Auditor (CPC/CCS)

Cognizant; Jackson (MS); Remote; USD 63,000 - 71,000; Full time

Job summary

Cognizant is seeking a Medical Coding Quality Auditor to ensure coding accuracy and regulatory compliance across healthcare records in a fully remote setup. You will work with physicians and coders to clarify and assign codes, conduct audits, and produce reports while maintaining high accuracy (≥98%) and strong productivity.

The role requires coding certifications (CPC/CCS/RHIT/RHIA or equivalent), ICD-10-CM, CPT, HCPCS knowledge, and encoder software experience.

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 encoder applications and coding software.
• Knowledge of healthcare regulatory and compliance requirements.
• Ability to effectively communicate with physicians to resolve documentation and coding questions.
• Strong attention to detail and analytical skills.
• Proven ability to maintain high accuracy and productivity standards.

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 per 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 compliance with standards and best practices.
• Maintain minimum coding accuracy of 98% while meeting productivity targets.
• Meet productivity and turnaround time requirements.

Skills

ICD-10-CM knowledge

CPT knowledge

HCPCS knowledge

Coding accuracy

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 and regulatory compliance across healthcare records in a fully remote setup. You will work with physicians and coders to clarify and assign codes, conduct audits, and produce reports while maintaining high accuracy (≥98%) and strong productivity.

The role requires coding certifications (CPC/CCS/RHIT/RHIA or equivalent), ICD-10-CM, CPT, HCPCS knowledge, and encoder software experience.