Remote Medical Coding Quality Auditor (CPC/CCS)

Cognizant; Salem (OR); Remote; USD 63,000 - 71,000; Full time

Job summary

Cognizant is seeking a Medical Coding Quality Auditor to ensure accuracy and compliance across healthcare records in a remote environment.

You will review documentation, query physicians, assign codes using encoder software, and perform peer reviews while maintaining a 98% accuracy and meeting productivity targets.

Candidates should have a coding certification (CPC/CCS/RHIT/RHIA) and knowledge of ICD-10-CM, CPT, HCPCS; remote work requires a private workspace and reliable internet.

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.
• 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 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

Documentation review

Coding accuracy

Communicate with physicians

Analytical skills

Attention to detail

Regulatory knowledge

Productivity

Education

Coding certifications (CPC/CCS/RHIT/RHIA)

High school diploma or equivalent; Associates/Bachelor's preferred

Tools

Electronic encoder applications

Job description

Cognizant is seeking a Medical Coding Quality Auditor to ensure accuracy and compliance across healthcare records in a remote environment.

You will review documentation, query physicians, assign codes using encoder software, and perform peer reviews while maintaining a 98% accuracy and meeting productivity targets.

Candidates should have a coding certification (CPC/CCS/RHIT/RHIA) and knowledge of ICD-10-CM, CPT, HCPCS; remote work requires a private workspace and reliable internet.