Cotiviti
5001 - 10000 employees
⚕️ Healthcare Insurance
💳 Fintech
🤖 Artificial Intelligence
Healthcare Insurance • Fintech • Artificial Intelligence
Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.
Auditor, Clinical Validation, OPSP Coding
🕒 May 21
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Cotiviti
5001 - 10000 employees
⚕️ Healthcare Insurance
💳 Fintech
🤖 Artificial Intelligence
Healthcare Insurance • Fintech • Artificial Intelligence
Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.
📋 Description
• Focus on auditing Coding & Clinical Chart Validation for Outpatient and Specialty audits • Audits Outpatient and Specialty Claims using medical chart coding principles • Utilizes advanced proficiency in Cotiviti encoder and audit tools for duties • Maintains productivity, accuracy, and quality standards for auditing • Identifies potential claims for additional recoveries and suggests process improvements • Completes all responsibilities outlined in the annual Performance Plan
🎯 Requirements
• Associate or bachelor’s degree in Health Information Management (RHIA or RHIT) • Coding Certification required and maintained (e.g., CPC, CIC, CCS, CCS-P, RHIA or RHIT) • 5 to 7 years of experience with clinical medical record coding or auditing • Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements • Broad knowledge of medical claims billing/payment systems and provider billing guidelines • Adherence to official coding guidelines and CMS regulatory compliance
🏖️ Benefits
• Health insurance • 401(k) matching • Paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year
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