Remote Medical Coding Quality Auditor — Precision & Compliance

Cognizant; Carson City (NV); Remote; USD 63,000 - 71,000; Full time

Job summary

Cognizant is seeking a Medical Coding Quality Auditor to ensure accurate coding across healthcare records in a fully remote role. You will review documentation, query physicians, assign codes using encoder tools, and perform peer reviews to uphold quality and compliance.

A 98% accuracy target and strong ICD-10-CM/CPT knowledge are required. Applicants should have a high school diploma or higher (BA/AS preferred), coding certifications such as CPC/CCS/RHIT/RHIA, and experience in HIM coding with

Qualifications

• High school diploma or equivalent; Associate's or Bachelor's degree preferred.
• CPC, CCS, RHIT, RHIA, or other coding certification.
• Experience reviewing medical documentation and assigning 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 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 through coding queries.
• Assign accurate codes using encoder applications per guidelines and regulatory requirements.
• Perform peer reviews and quality audits of HIM coding auditors and coders.
• Prepare and complete reports, audit findings, and other deliverables.
• Monitor coding quality and ensure adherence to compliance standards.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity and performance expectations.

Skills

Coding knowledge

Attention to detail

Communication

Productivity

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Electronic encoder applications

Job description

Cognizant is seeking a Medical Coding Quality Auditor to ensure accurate coding across healthcare records in a fully remote role. You will review documentation, query physicians, assign codes using encoder tools, and perform peer reviews to uphold quality and compliance.

A 98% accuracy target and strong ICD-10-CM/CPT knowledge are required. Applicants should have a high school diploma or higher (BA/AS preferred), coding certifications such as CPC/CCS/RHIT/RHIA, and experience in HIM coding with