Project Manager, Outpatient Specialty

🔥 4 minutes ago

🇺🇸 United States – Remote

💵 $96k - $116k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👷‍♀️ Project Manager

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Cotiviti

WebsiteLinkedInAll Job Openings

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

• Ensure consistent application of OPSP policies across both Commercial and Government clients • Utilize project management skills to develop and manage project documents and presentations • Create and maintain project status documents and conduct regular status meetings • Foster efficient teamwork, track lessons learned and share insights with team members • Perform analysis and monitoring of various Key Performance Indicator (KPI) reports • Recommend and track system or process improvements • Analyze trends and root causes of issues to identify areas of process improvement

🎯 Requirements

• Bachelor’s degree in Health Information Management or nursing (with active / unrestricted license) • Coding or Clinical Documentation Certification required i.e. CCDS, CPC, CIC, CCS, RHIA or RHIT • 5+ years of related experience in a healthcare billing office or claims management role • Related to areas like DRG Validation, APC/ASC Validation, Outpatient Review Types • Prior Healthcare Billing and/or claims experience desired but not required • Requires working knowledge of and applicable industry-based standards • Computer proficiency in Microsoft Excel, Access, Visio, PowerPoint and system databases

🏖️ Benefits

• medical, dental, and vision insurance coverage • 401(k) savings plans • paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year