Dental Analyst I

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $20 - $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

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

• Perform daily reviews and audits of client data for completeness and coding accuracy • Utilize dental coding knowledge to ensure reimbursement appropriateness when making recommendations on clinical claims • Ensure requirements for Current Dental Terminology (CDT), ADA, and related concessions are met • Perform duties according to structured algorithms or written guidelines • Handle moderately complex issues and refer medical necessity procedures to higher-level staff for approval or denial • Respond to provider appeals involving non-clinical issues • Respond to client logics and record reviews involving non-clinical issues • Assess and respond to client and provider educational needs • Monitor acceptance rates for assigned clients and help management detect negative deviations • Provide feedback to Management and Development on editing and efficiency improvements • Pass client feedback to relevant teams • Participate in the Quality Committee as required • Complete responsibilities outlined in the annual Performance Plan • Report to a department head or manager

🎯 Requirements

• High school diploma, GED or equivalent work experience • Minimum of 3 years work experience in a clinical role in the dental office, as a Dental Assistant or Dental Hygienist • Dental coding certificate preferred; credential or ability to sit for it • General knowledge of dental procedures, conditions, and treatment practices • Excellent written and verbal communication skills • Ability to think logically and process sequentially with a high level of detailed accuracy • Excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc. • Ability to conduct training for internal staff and clients efficiently and effectively • Ability to work as part of a team • Analytical thinking skills • Statistical knowledge • Technical expertise • Detail oriented • Ability to meet deadlines • Mathematical skills • Project management skills • Must be able to perform duties with or without reasonable accommodation • Must be able to provide a dedicated, secure work area • Must be able to provide high-speed internet access/connectivity and office setup and maintenance

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Disability insurance • Life insurance coverage • 401(k) savings plan • 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 • Overtime pay eligibility for nonexempt employees for hours worked in excess of 40 hours per week, or as otherwise required by applicable state law • Remote work arrangement • Dedicated, secure work area • High-speed internet access/connectivity and office setup and maintenance