• Job Description

  Req#: 16040
  Employer Industry: Healthcare Services
  
  Why consider this job opportunity:
  - Salary up to $88,000 per year
  - Competitive benefits package, including medical, dental, vision, disability, and life insurance coverage
  - 401(k) savings plans with employer contributions
  - Generous Paid Time Off (PTO) ranging from 17-27 days per year, plus 9 paid holidays
  - Opportunity to work from home, providing flexibility and convenience
  - Engaging work environment with opportunities for professional development and growth
  
  What to Expect (Job Responsibilities):
  - Conduct audits of medical records and healthcare claims to assess accuracy and compliance with policies and regulations
  - Prepare and submit detailed reports on audit findings, including recommendations for improvements
  - Conduct medical policy research to support review findings
  - Utilize knowledge of healthcare coding conventions to identify suspicious patterns in documentation
  - Maintain current knowledge of federal, state, and payer policy and coding guidelines
  
  What is Required (Qualifications):
  - Bachelor’s Degree in a related discipline or equivalent combination of education and experience
  - Required Credential: Certified Professional Coder (CPC, CCS, CCS-P)
  - 2-5 years of related experience in auditing medical records
  - Proficiency in MS Office suite
  - Excellent verbal and written communication skills, along with strong attention to detail
  
  How to Stand Out (Preferred Qualifications):
  - Licenses such as Licensed Practical Nurse (LPN) or Registered Nurse (RN)
  - Experience with healthcare claims
  - Strong organizational and prioritization skills with the ability to multitask
  - Ability to conduct research in support of medical review determinations
  - Understanding of coding systems including ICD, CPT, HCPCS, and relevant federal and state guidelines
  
  #HealthcareServices #MedicalReview #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.

Notice