Auditor Technical Trainer – POS

🕒 Yesterday

🇺🇸 United States – Remote

💵 $105k - $125k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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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

• Improve the technical effectiveness of the Clinical Chart Validation team by planning, developing, and delivering technical training, mentoring, and assessment • Work collaboratively with subject matter experts in various teams • Assess job-specific needs and develop training plans • Deliver specific training sessions using suitable delivery methods • Provide support to the CCV audit team members and assist with orientation of new members • Promote audit accuracy measures by training/educating and mentoring auditors • Develop testing and evaluation procedures • Assess customer/provider/stakeholder issues and monitor performance

🎯 Requirements

• Associate or Bachelor's degree in nursing • RN License (active /unrestricted in state of residence) • Case Management Certification (preferred) • 5 to 7+ years of working with InterQual/MCG (Inpatient vs Observation) • Background in Utilization Management and/or Case Management • Critical Care background: ICU, Emergency Room, Cath Lab, Med Surg • Adherence to official coding guidelines and other regulatory compliance guidelines and mandates • Requires expert level knowledge of Interqual and/or MCG criteria • Strong presentation skills • Comfortable in presenting/defending audit logic to clients and key stakeholders • Independent thinker, logical, strategic, with a high focus and attention to detail • Effective communication and presentation style (written and verbal) • Knowledge of principles and methods for curriculum and training design • Competent administrative and organizational skills • High level of proficiency with all audit technology i.e., R3, CAT, etc. • Proficiency in Word, Access, Excel, PowerPoint and other applications • Excellent written and verbal communication skills

🏖️ Benefits

• Medical, dental, and vision insurance • 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 depending on specific level and length of service