Outpatient & Multispecialty Medical Coding Auditor, New York, New York, United States

About the role

As an Outpatient & Multispecialty Medical Coding Auditor, you will make an impact by auditing both facility outpatient and professional fee medical coding across multiple specialties. You will be a valued member of the Cognizant team and work collaboratively with stakeholders, providers, and coding teams to ensure coding accuracy, compliance, and adherence to industry standards.

In this role, you will:

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.

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.

What you need to have to be considered

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.

Important Qualification

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.

These will help you stand out

EPIC experience.
3M experience.

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.

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

À propos de Cognizant
Cognizant (NASDAQ : CTSH) est un AI Builder et une entreprise de services numériques (ESN) élaborant des solutions complètes d’IA maximisant les investissements pour des résultats concrets. Sa profonde expertise des métiers, des processus et des technologies lui permet d’intégrer dans les systèmes technologiques le contexte unique de chaque organisation de l’ingénierie à la production à l’échelle. Son objectif : améliorer l’efficacité des équipes, créer de la valeur et permettre aux grandes entreprises de rester performantes dans un monde qui évolue rapidement. Pour en savoir plus : cognizant.ai ou @cognizant.

Renseignments suppplémentaires sur l'emploi
Les informations relatives à la rémunération du poste à pourvoir dépendent de la date de publication de l’offre de poste. Cognizant se réserve le droit de modifier ces informations à tout moment, sous réserve des lois applicables.

Cognizant est un employeur soucieux de l'égalité des chances entre candidats. Votre candidature sera étudiée indépendamment de votre race, couleur, sexe, religion, croyances, orientation sexuelle, identité de genre, origine, handicap, informations génétiques, grossesse, statut d'ancien militaire ou de toute autre critère jugé discriminant par les lois européennes ou françaises.

Vous êtes porteur d'un handicap, vous pouvez-nous contacter par courriel [email protected] si vous souhaitez préciser les aménagements nécessaires pour le poste ou les entretiens à venir.

Les candidats peuvent être invités à participer à des entretiens en face à face ou par vidéoconférence. En outre, les candidats peuvent être amenés à présenter une carte d'identité valide lors de chaque entretien.