Content Analyst II

🕒 May 28

🇺🇸 United States – Remote

💵 $75k - $103k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

✍️ Content Marketing 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

• Provide coding and industry expertise to help create and maintain clinical coding edits • Responsible for writing business logic for new rules and enhancements by translating industry references into Cotiviti policy • Reviews and identifies changes to medical policies in order to maintain an accurate and current medical policy library • Work with the client teams to provide coding and clinical expertise for customer and provider inquiries, questions, challenges, or appeals to clinical rules • Assumes full ownership and accountability for assigned medical policies • Performs multi-faceted analytics for data and report analysis with minimal direction • Mentor and train new staff • Performs QA of policy reviews, logic revisions, and research requests performed by others to ensure accuracy • Maintains current knowledge-base of industry and Cotiviti content, best practices, applications, procedures, and policies

🎯 Requirements

• Active professional license as a Registered Nurse (BSN preferred), Pharmacist (BSPharm or PharmD), Bachelor’s degree (healthcare-related field preferred), Offshore Medical Degrees (MBBS or higher) • Professional certification (RHIA, RHIT, CPC, CPC-H, CPC-P, or CCS-P) preferred or willing to pass certification exam within one year of employment • Minimum of 5 years of experience in a clinical setting as a nurse, pharmacist, or physician OR minimum of 6 years of clinical coding experience, preferably in a payer setting • Minimum of 3 years of experience in internet-based research as it relates to codes (CPT, HCPCS, ICD, or NDC) • Familiarity with claims payment and reimbursement methodologies as well as medical policy rules and edits • Ability to analyze complex data and synthesize it for customer and internal consumption • Ability to work well both independently and collaboratively, in a fast-paced and demanding environment • Effective at managing timelines and multiple projects with high accuracy and attention to detail • Strong analytical, critical thinking, and problem-solving skills • Proficiency in Microsoft Office suite • Excellent interpersonal, verbal, and written 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, depending on specific level and length of service