Inpatient Medical Coding Auditor

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
• Verify diagnoses and procedures in physician documentation
• Utilize an electronic encoder application, Solventum (3M), to identify accurate ICD-10-CM and ICD-10-PCS codes 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
• Affirm that services provided to clients of Company are current and up to date with industry standards
• Conduct other reviews, audits, and other tasks as directed by Company for which Employee has skills and knowledge
• Maintain a minimum accuracy rate of at least 98% while meeting internal productivity standards set by company
• Maintain productivity expectations as set per project

Requirements

To be considered for this role, you should have:

• 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
• Ability to interpret medical record reports and chart entries
• Ability to work independently and as a team member
• Ability to apply judgment and decision making
• Basic background with computers, capable of being in multiple systems at once
• Self-motivated with ability to work autonomously and in a team in a fast-paced environment
• Well organized and able to handle multiple 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

Skills

• EPIC experience
• Solventum (3M) 360 experience
• ICD-10 Certified Trainer/Ambassador

Benefits

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.

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. CogWW901