- Audit facility outpatient medical records for coding accuracy, compliance, and reimbursement integrity.
- Audit professional fee (ProFee) coding, including Evaluation and Management (E/M) services and procedural coding.
- Audit coding across multiple specialties, including but not limited to Cardiology, Orthopedics, Surgery, Internal Medicine, Pediatrics, OB/GYN, and other physician specialties.
- Review clinical documentation to validate diagnosis, procedure, CPT, HCPCS, and ICD-10-CM code assignment.
- Audit Emergency Department (ED) professional services and outpatient facility encounters.
- Communicate with providers and stakeholders to clarify documentation and coding opportunities.
- Provide coding education and feedback to providers, coders, and clients.
- Conduct quality assurance reviews and peer reviews as assigned.
- Complete audit reports and documentation within established turnaround times.
- Ensure services provided to clients remain current with coding, billing, and compliance requirements.
- Conduct additional audits, reviews, and related projects as assigned.
- Maintain minimum accuracy and productivity standards established by the company and client.
- CCS, RHIT, RHIA (AHIMA), CPC, or COC (AAPC) certification.
Minimum of five years of outpatient facility auditing experience. with an additional
two years of coding experience or ten years of coding experience.
- Experience auditing facility outpatient services.
- Experience auditing professional fee (ProFee) coding.
- Strong experience auditing Evaluation and Management (E/M) services and procedural coding.
- Experience auditing across multiple specialties rather than a single specialty focus.
- Experience auditing specialties such as Cardiology, Orthopedics, Surgery, Internal Medicine, Pediatrics, OB/GYN, and other physician specialties.
- Knowledge of Federal, State, and payer regulations.
- Ability to interpret medical records, clinical reports, and provider documentation.
- Ability to work independently and as part of a team.
- Strong critical thinking, judgment, and decision-making skills.
- Strong verbal and written communication skills.
- Proficiency in Microsoft Office applications including Word, Excel, and Outlook.
- This role requires experience with outpatient facility auditing and professional fee multispecialty auditing.
Candidates must have experience auditing E/M services, procedures, and coding across multiple physician specialties.
- EPIC experience.
- 3M experience.
Salary and Other Compensation: Applications will be accepted until November 12th, 2025.
The annual salary for this position is between $39.00-$40.00 an hour 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.
Cog2026
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。
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