- 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
コグニザントについて
コグニザント（NASDAQ: CTSH）は、AI Builderおよびテクノロジーサービスプロバイダーとして、お客様にフルスタックのAIソリューションを構築することで、AI投資と企業価値を結ぶ架け橋となっています。業界、ビジネスプロセス、エンジニアリングに関する当社の深い専門知識を活かし、組織固有のビジネス環境をテクノロジー・システムに組み込みます。これにより、人間の可能性を最大限に引き出し、確かな成果を実現するとともに、急速に変化する世界においてグローバル企業が常に一歩先を行くための支援を行っています。 詳細については、cognizant.ai をご覧ください。
雇用に関する追加情報
本募集に記載されている報酬情報は、掲載日時点で正確なものです。Cognizantは、適用される法令に従い、いつでも本情報を変更する権利を留保します。
応募者は、対面またはビデオ会議による面接への参加を求められる場合があります。また、各面接の際に、現在有効な州政府または政府発行の身分証明書の提示を求められる場合があります。
Cognizantは機会均等雇用主です。応募および選考において、人種、肌の色、性別、宗教、信条、性的指向、性自認、国籍、障がい、遺伝情報、妊娠、退役軍人の地位、その他連邦法・州法・地方自治体の法律により保護されるいかなる特性に基づく差別も行いません。
