Cognizant

Inpatient Medical Coding Auditor

Cognizant$83K — $89K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • CCS, RHIT or RHIA (AHIMA) certification
  • 5 years of facility-based auditing experience
  • 2 years of coding experience at an Academic Hospital/Trauma Level 1
  • Knowledge of Federal, State, and payer regulations
  • Strong organizational skills with multitasking ability

Responsibilities

  • Review inpatient records for coding accuracy and compliance
  • Verify diagnoses and procedures through physician documentation
  • Utilize Solventum (3M) for coding according to guidelines
  • Complete requested reports accurately and timely
  • Provide education on ICD-10-CM and ICD-10-PCS to clients
  • Perform peer reviews of coding auditors and coders
  • Ensure services meet current industry standards

Benefits

  • Medical/Dental/Vision/Life Insurance
  • Paid holidays plus Paid Time Off
  • 401(k) plan and contributions
  • Long-term/Short-term Disability
  • Paid Parental Leave
  • Employee Stock Purchase Plan
Full Job Description
About the role

As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient records. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams.

In this role, you will:
  • Review inpatient records for diagnostic and procedural coding accuracy and compliance
  • Review physician documentation to verify diagnoses and procedures
  • Identify accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, Solventum (3M), in accordance with practice policy and regulatory guidelines
  • Complete reports as requested
  • Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance
  • Perform Peer Reviews of Company Health Information Management coding auditors and coders
  • Assure that services provided to Clients of Company are current and up to date with industry standards
  • Conduct other reviews, audits and other tasks at the direction of Company for which Employee has skills and knowledge
  • Maintain minimum accuracy rate of at least 98% while meeting internal productivity standards set by company
  • Maintain productivity expectations as set per project

We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs.

The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.

What you need to have to be considered
  • CCS, RHIT or RHIA (AHIMA) certification
  • APR DRG experience
  • Minimum of five years of facility-based auditing experience with an additional two years of coding experience at the Academic Hospital/Trauma Level 1 level of complexity
  • Knowledge of Federal, State and payer regulations
  • Capable of interpreting medical record reports and chart entries
  • Able to work independently and as a team member
  • Capable of applying judgment and decision making
  • Basic background with computers with ability to be in multiple systems at 1 time
  • Self-motivated with ability to work autonomously and in a team in a fast-paced environment
  • Interacting with manager/team members on scheduled time off and breaks and new procedures and policies as provided by the client is essential.
  • Well organized and able to handle multipole projects as needed.
  • Strong oral and written communication skills.
  • Able to be flexible and adaptable to change.
  • Proficiency in MS Office applications including Word, Excel and Outlook.

These will help you stand out
  • EPIC experience
  • Solventum (3M) 360 experience
  • ICD-10 Certified Trainer/Ambassador

We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.

Salary and Other Compensation: Applications will be accepted until July 31st, 2026

The annual salary for this position is between $40.00 - $43.25 depending on the experience and other qualifications of the successful candidate.

This position is also eligible for Cognizant's discretionary annual incentive program and stock awards, based on performance and subject to the terms of Cognizant's applicable plans.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan

Disclaimer : The salary, other compensation, and benefits information is accurate as of the date of this posting.

Cognizant reserves the right to modify this information at any time, subject to applicable law.

Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.

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About Cognizant

TriZetto is Powering Integrated Healthcare Management. With technology solutions touching more than half the U.S. population today, TriZetto is uniquely positioned to drive the convergence of core benefit administration, care management and constituent engagement. TriZetto provides premier information technology solutions that enable payers and other constituents in the healthcare supply chain to improve the coordination of benefits and care for healthcare consumers.

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Learn more about Cognizant
Size
340,400 employees
Market Cap
$28.7 billion
Industry
Net Income
$1.3 billion
Founded
1994
5 Year Trend
+6.5%
Revenue
$16.6 billion
NASDAQ

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