Cotiviti - US

Clinical Analyst I


Pay$29.00 - $35.00 / hour
LocationRemote
Employment typeOther

This job is now closed

  • Job Description

      Req#: 12190
      Employer Industry: Healthcare Analytics

      Why Consider this Job Opportunity:
      - Base compensation up to $35.00 per hour
      - Eligible for discretionary bonus consideration
      - Competitive benefits package including medical, dental, vision, disability, and life insurance coverage
      - Opportunities for career advancement and growth within the organization
      - Remote work opportunity anywhere in the continental U.S.
      - Full-time position with a minimum of 40 hours per week

      What to Expect (Job Responsibilities):
      - Perform daily audits on client data for completeness and accuracy of coding
      - Utilize a client-centered approach when reviewing claims, appeals, and record reviews
      - Monitor acceptance rates for assigned clients and assist in proactively detecting negative deviations
      - Provide feedback to Management/Development Teams on changes to enhance editing and efficiency
      - Become familiar with claims payment policy and processing

      What is Required (Qualifications):
      - Active professional license as a Registered Nurse in the current state of residence
      - 1 year of professional experience in providing direct patient care
      - Coding Certification Preferred (Outpatient - CPC, CCS or CCS-P) or willingness to obtain one
      - Willingness to obtain NY Independent Insurance Adjuster licensure
      - Strong working knowledge of medical procedures, conditions, illnesses, and treatment practices

      How to Stand Out (Preferred Qualifications):
      - Leadership experience preferred
      - Intermediate computer skill set level with a strong foundation and working knowledge of Microsoft Office Suite (Excel, PowerPoint, Outlook)
      - Training for this position lasts approximately 12 weeks and can be completed remotely
      - Targeted start date is May 13, 2024
      - Ability to work flexible shifts, including weekends and holidays

      #HealthcareAnalytics #RemoteWork #CareerGrowth #CompetitivePay #BenefitsPackage

      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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