- 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
Acerca de Cognizant
Cognizant (Nasdaq: CTSH) es un creador de soluciones de IA y proveedor de servicios tecnológicos que conecta la inversión en IA con el valor empresarial mediante el desarrollo de soluciones de IA full‑stack para sus clientes. Su profundo conocimiento de la industria, junto con su experiencia en procesos e ingeniería, permite incorporar el contexto único de cada organización en sistemas tecnológicos que amplifican el potencial humano, generan resultados tangibles y mantienen a las empresas a la vanguardia en un entorno en constante cambio. Más información en cognizant.ai o @cognizant.
Información adicional de empleo
La información de compensación es precisa a la fecha de esta publicación. Cognizant se reserva el derecho de modificar esta información en cualquier momento, sujeto a la legislación aplicable.
Es posible que se requiera que los solicitantes asistan a entrevistas en persona o por videoconferencia. Además, es posible que se requiera que los candidatos presenten su identificación actual emitida por el estado o gobierno durante cada entrevista.
Cognizant es un empleador que ofrece igualdad de oportunidades. Tu solicitud y candidatura no serán consideradas en base a raza, color, sexo, religión, credo, orientación sexual, identidad de género, origen nacional, discapacidad, información genética, embarazo, condición de veterano o cualquier otra característica protegida por las leyes federales, estatales o locales.
Si tienes una discapacidad que requiere adaptaciones razonables para buscar una vacante de trabajo o enviar una solicitud, puedes enviar un correo electrónico a [email protected] con tu solicitud e información de contacto.
