Inpatient & Outpatient Facility Medical Coder - Remote

About the role:

As an Inpatient and Outpatient Facility Coder, you will make an impact by reviewing and assigning accurate diagnosis and procedure codes across inpatient, outpatient, emergency department, ancillary, and surgical records. You will be a valued member of the Cognizant team and work collaboratively with physicians, auditors, and healthcare stakeholders to ensure coding accuracy, regulatory compliance, and quality outcomes.

In this role, you will:

• Review medical documentation and assign accurate diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, MS-DRG, CPT, and HCPCS coding systems.

• Interpret inpatient, outpatient, emergency department, ancillary testing, and ambulatory surgery records for coding accuracy and compliance.

• Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the query process.

• Assign codes utilizing an electronic encoder application in accordance with practice policies, regulatory requirements, and coding guidelines.

• Perform Peer Reviews of Company Health Information Management coding auditors and coders.

• Complete reports and documentation as requested.

• Maintain a minimum coding accuracy rate of 98% while meeting productivity expectations established by the company.

• Stay current with coding guidelines, reimbursement methodologies, regulatory updates, and industry best practices.

• Support quality improvement initiatives through coding reviews, audits, and education.

• Conduct other reviews, audits, and coding-related duties as assigned.

• Maintain productivity expectations as established for each project and record type.

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. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.

What you need to have to be considered

• AHIMA CCS (Certified Coding Specialist) or CPC (AAPC) certification required.
• Minimum of three years of facility-based coding experience with ICD-10-CM, ICD-10-PCS, MS-DRG, CPT, and HCPCS coding.
• Level-1 Trauma coding experience required.
• Experience coding both inpatient and outpatient facility records.
• Strong understanding of inpatient MS-DRG assignment and outpatient reimbursement methodologies.
• Experience coding Emergency Department, Ambulatory Surgery, Interventional, and Ancillary service records.
• Experience utilizing electronic coding encoders and facility coding workflows.
• Knowledge of Federal, State, and payer regulations.
• Capable of interpreting medical records, operative reports, diagnostic results, and chart documentation.
• Able to work independently and as a team member.
• Capable of applying judgment and decision making.
• Basic computer proficiency with the ability to work in multiple systems simultaneously.
• Self-motivated with the ability to work autonomously and in a fast-paced environment.
• Well organized and able to manage multiple projects.
• Strong oral and written communication skills.
• Able to be flexible and adaptable to change.
• Proficiency in Microsoft Office applications including Word, Excel, and Outlook.

These will help you stand out

• EPIC experience.
• Previous coding audit or peer review experience.

We're excited to meet people who share our mission and can make an impact in a variety of ways.

Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting…