- 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
Additional employment information
Compensation 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.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.
Applicants must be currently authorized to work for any employer in the United States. The company is unable to provide employment-based immigration sponsorship for this position.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.
About Cognizant:
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.
