Job Summary
This hybrid role is for a skilled medical coding specialist who supports high quality healthcare products through accurate clinical data translation and validation. The specialist applies medical coding expertise to maintain coding integrity improve claims efficiency and enhance patient centric solutions while collaborating with cross functional teams in a structured day shift environment without travel.
Responsibilities
- Review medical records from diverse healthcare products to assign accurate standardized codes that support compliant billing and robust clinical analytics
- Apply deep knowledge of medical coding guidelines to validate coded data for completeness consistency and proper linkage to healthcare product features
- Collaborate with product teams to translate clinical documentation into structured codes that strengthen the reliability and usability of healthcare solutions
- Analyze coding discrepancies to identify root causes communicate findings and support corrective actions that reduce rework and claim denials
- Coordinate with quality and operations teams to refine coding workflows that enhance turnaround time without compromising clinical and regulatory accuracy
- Conduct detailed audits of coded encounters to ensure alignment with payer requirements regulatory standards and internal compliance policies
- Document coding rationales in a clear and traceable manner so downstream users can easily understand decisions and apply them consistently
- Contribute to continuous improvement efforts by sharing coding insights that influence product design documentation templates and rules based engines
- Use medical coding expertise to support testing of healthcare product enhancements ensuring that coding rules and edit logic behave as intended
- Respond to inquiries from internal stakeholders regarding code selection and documentation needs while promoting a culture of quality and accountability
- Monitor performance metrics for coding productivity and quality and suggest practical adjustments that help meet or exceed service level agreements
- Engage in regular knowledge updates on medical coding standards payer bulletins and healthcare product changes to keep daily work aligned with current expectations
- Support knowledge sharing through participation in team huddles calibration sessions and feedback loops so that coding practices remain consistent and scalable
Qualifications
- Possess practical experience in medical coding over at least two years with strong exposure to healthcare products in a professional delivery environment
- Demonstrate proficiency in applying coding standards including current clinical classification systems used across major healthcare products and payer workflows
- Exhibit strong understanding of healthcare product life cycles including how coded data feeds into claims processing quality reporting analytics and compliance checks
- Display proven ability to interpret clinical documentation from multiple care settings and convert it into precise codes that support accurate reimbursement and reporting
- Show familiarity with electronic health record platforms and coding tools commonly deployed in hybrid work models to maintain secure and efficient coding operations
- Communicate clearly with multidisciplinary teams including clinical operations and product stakeholders to clarify documentation gaps and coding questions
- Maintain a continuous learning mindset to keep medical coding competencies aligned with evolving clinical guidelines payer rules and organizational quality goals
Certifications Required
Certified Professional Coder CPC or equivalent medical coding certification from a recognized body
关于高知特 (Cognizant)
高知特(Cognizant)（纳斯达克代码：CTSH）作为一家AI Builder和相关技术服务提供商，致力于通过打造全栈AI解决方案，帮助企业将人工智能投资转化为实际价值。公司凭借深厚的行业经验、流程优化和工程技术专长，将企业独特的业务场景融入科技系统，赋能组织释放人才潜能，推动切实成果，并帮助全球企业在瞬息万变的环境中保持领先。如需了解更多详情，敬请访问 cognizant.ai 或关注@cognizant。
补充雇佣信息
薪酬信息截至本职位发布之日为准。Cognizant 保留在适用法律允许的范围内随时修改该信息的权利。
申请人可能需要通过现场面试或视频会议的方式参加面试。此外，候选人在每次面试时可能需要出示其当前所在州或政府签发的有效身份证件。
Cognizant 是一家提供平等就业机会的雇主。在招聘过程中，您的申请和候选资格不会因种族、肤色、性别、宗教、信仰、性取向、性别认同、国籍、残疾、遗传信息、怀孕、退伍军人身份或任何其他受联邦、州或地方法律保护的特征而受到影响。
