• Job Description

  Req#: 18188
  Employer Industry: Healthcare Auditing
  
  Why consider this job opportunity:
  - Salary up to $53.10 per hour
  - Competitive benefits package including medical, dental, vision, disability, and life insurance
  - 401(k) savings plans and paid family leave
  - Generous Paid Time Off (PTO) ranging from 17-27 days per year
  - Opportunity to mentor and enhance the performance of other auditors
  - Engaging work environment with opportunities for professional growth
  
  What to Expect (Job Responsibilities):
  - Conduct clinical quality assurance reviews of daily clinical validation audits
  - Communicate effectively with initial auditors to resolve differing audit decisions
  - Apply healthcare auditing principles and objectivity during medical audit activities
  - Review medical records to determine medical necessity and identify potential billing/coding issues
  - Serve as a mentor to other QA auditors or initial auditors as needed
  
  What is Required (Qualifications):
  - Associate's or Bachelor's degree in Nursing with an active/unrestricted license
  - Minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing
  - Coding Certification required (RHIA, RHIT, or inpatient coding certification within one year of hire)
  - 3-5 years of healthcare auditing or related experience
  - Excellent verbal and written communication skills
  
  How to Stand Out (Preferred Qualifications):
  - Inpatient Coding Credential such as CCS or CIC
  - Experience in a Clinical Validation Audit setting or hospital environment
  - Ability to work independently and within a team
  - Proficiency in Microsoft Office Suite (Excel, Outlook, PowerPoint, SharePoint)
  
  #HealthcareAuditing #QualityAssurance #CareerOpportunity #CompetitivePay #ProfessionalDevelopment
  
  "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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