• Job Description

  Req#: 17551
  Employer Industry: Healthcare Analytics
  
  Why consider this job opportunity:
  - Salary up to $38.00 per hour
  - Eligible for discretionary bonus consideration
  - Comprehensive benefits package, including medical, dental, vision, and life insurance
  - Opportunity for career advancement and growth within the organization
  - Flexible remote work opportunity with hours that can accommodate various schedules
  - Paid Time Off (PTO) ranging from 17 to 27 days per year, depending on service length
  
  What to Expect (Job Responsibilities):
  - Perform daily audits on client data for completeness and accuracy of coding to ensure appropriateness for reimbursement
  - Respond to provider appeals while meeting client turnaround time and key performance indicators (KPI) goals
  - Provide feedback to Management/Development Teams on enhancements for editing and efficiency
  - Familiarize yourself with claims payment policies and processing, including CMS, Medicaid regulations, and coding guidelines
  - Complete all assigned responsibilities and special projects as outlined in performance evaluations
  
  What is Required (Qualifications):
  - Active professional license as a Registered Nurse in your current state of residence (BSN preferred)
  - Minimum of 2 years of professional experience in providing direct patient care
  - Coding certification preferred (Outpatient - CPC, CCS, or CCS-P) or required to obtain within the first year of employment
  - Required to obtain NY Independent Insurance Adjuster licensure within the first four months of employment
  - Strong working knowledge of medical procedures, conditions, and treatment practices
  
  How to Stand Out (Preferred Qualifications):
  - Experience with high-pressure production environments
  - Excellent personal computer skills in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
  - Ability to absorb new information quickly and adapt to a fast-paced environment
  - Strong written and verbal communication skills
  - Experience in auditing or coding roles
  
  #HealthcareAnalytics #RemoteWork #CareerOpportunity #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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