• Job Description

  Req#: 15638
  Employer Industry: Healthcare Auditing
  
  Why consider this job opportunity:
  - Salary up to $45.67/hour (approximately $95k annualized)
  - Eligible for discretionary bonus consideration
  - Comprehensive benefits package including medical, dental, vision, and life insurance
  - Generous Paid Time Off (PTO) ranging from 17-27 days per year, plus 9 paid holidays
  - Opportunity for career advancement within a reputable healthcare auditing firm
  - Flexible remote work option available
  
  What to Expect (Job Responsibilities):
  - Conduct audits of outpatient and specialty claims utilizing medical chart coding principles
  - Review and interpret medical records to identify potential billing/coding issues
  - Utilize advanced proficiency with audit tools and systems to ensure accurate claim entry
  - Meet or exceed productivity and quality standards set for auditing processes
  - Identify new claim types and recommend improvements to enhance audit efficiency and client satisfaction
  
  What is Required (Qualifications):
  - Associate or bachelor’s degree in Health Information Management (RHIA or RHIT) or equivalent work experience
  - Required coding certification (CPC, CIC, CCS, CCS-P, RHIA, or RHIT)
  - 5 to 7 years of experience in clinical medical record coding or auditing
  - In-depth knowledge of HIPAA Privacy and Security Rules, CMS security requirements, and coding terminology
  - Excellent verbal and written communication skills, with the ability to work independently and in a team environment
  
  How to Stand Out (Preferred Qualifications):
  - Experience with outpatient and specialty review types
  - Familiarity with medical claims billing/payment systems and payer reimbursement policies
  - Strong analytical skills to assess the accuracy and thoroughness of work
  - Ability to adapt to new concepts and processes for continuous improvement
  - Experience in a healthcare auditing role with a focus on coding accuracy and medical necessity
  
  #HealthcareAuditing #RemoteWork #CodingCertification #CareerGrowth #CompetitiveBenefits
  
  We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
  We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

• About the company

  Cotiviti is a solutions and analytics company leveraging unparalleled clinical and financial datasets to deliver insight into the healthcare system’s performance.

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