Team Lead Coder

Job not on LinkedIn

🕒 May 19

🇺🇸 United States – Remote

💵 $89.8k - $95.8k / year

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

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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

• Oversee onshore/offshore Coder Coding Validation team(s) in reviewing claims and producing well written appeals • Provide support needed to review quality claims and appeal, utilizing nationally recognized coding standards, proprietary coding validation guidelines and client specific guidelines • Responsible for optimization of team and individual coder performance, including production, accuracy and quality • Work with Quality Assurance to ensure analysts or coders are meeting quality execution of CV audit deliverables • Handles employee reviews, new hire on-boarding, PTO, coaching and mentoring • Ensure operational controls and day-to-day processes are in place • Hire, develop, coach, lead and retain top-tier talent

🎯 Requirements

• Coding certificate required i.e. CCDS, CPC, CIC, CCS, RHIA or RHIT • Bachelor’s degree in nursing or other health or informatics field preferred • 3 to 5+ years of knowledge of healthcare claims payment policy and processing including Professional, Multispecialty and specifically CMS, Medicaid regulations, AAOS, ICD-10, CPT and HCPCS, etc. coding guidelines • Prior management or supervisory experience preferred • Proficient in Microsoft Office suite and system databases • Ability to adapt to a changing workplace • Excellent written and verbal communication skills.

🏖️ Benefits

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