Cotiviti logo
Cotiviti

Founded in 1979, Cotiviti provides analytics-driven payment and network solutions for the healthcare and retail industries, offering services that help payers,

Auditor, Clinical Validation, OPSP Coding

Location

United States

Posted

4 days ago

Salary

$95.6K / hour

Seniority

Senior

Associate Degree5 yrs expEnglish

Job Description

Auditor, Clinical Validation, OPSP Coding

Cotiviti

• Focus on auditing Coding & Clinical Chart Validation for Outpatient and Specialty audits • Audits Outpatient and Specialty Claims using medical chart coding principles • Utilizes advanced proficiency in Cotiviti encoder and audit tools for duties • Maintains productivity, accuracy, and quality standards for auditing • Identifies potential claims for additional recoveries and suggests process improvements • Completes all responsibilities outlined in the annual Performance Plan

Job Requirements

  • Associate or bachelor’s degree in Health Information Management (RHIA or RHIT)
  • Coding Certification required and maintained (e.g., CPC, CIC, CCS, CCS-P, RHIA or RHIT)
  • 5 to 7 years of experience with clinical medical record coding or auditing
  • Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
  • Broad knowledge of medical claims billing/payment systems and provider billing guidelines
  • Adherence to official coding guidelines and CMS regulatory compliance

Benefits

  • Health insurance
  • 401(k) matching
  • Paid family leave
  • 9 paid holidays per year
  • 17-27 days of Paid Time Off (PTO) per year

Related Categories

Related Job Pages

More Auditor Jobs

Oregon Department of Human Services logo

Senior Financial Auditor – State

Oregon Department of Human Services

Helping Oregonians achieve wellbeing through opportunities that protect, empower, respect choice and preserve dignity.

Auditor4 days ago
Full TimeRemoteTeam 10,001+H1B No Sponsor

• We are recruiting for individuals to join our Financial audit team. • In this role, you will conduct and issue financial and compliance audits, as well as conduct investigations of potential misuse of state resources by state agencies, local governments, or contractors receiving state or federal funds from state agencies. • This is accomplished in part by, but not limited to: reviewing fiscal and accounting functions and systems, reviewing and evaluating internal controls, reviewing and testing accounting records, developing estimates and expectations of financial statement accounts, reviewing financial trends and analyzing variances, analyzing financial statement account balances and drawing conclusions, reviewing and testing compliance with state and/or federal laws and regulations.

Oregon
$6.1K - $9.4K / month
Part TimeRemoteTeam 1,001-5,000Since 1980H1B Sponsor

• Complete assigned audits at automotive repair facilities in accordance with OEM and manufacturer guidelines, based on site availability and scheduling • Complete monthly vehicle inventory at dealerships by the assigned deadline, which offers flexibility to determine when work is completed • Conduct required visual inspections while accurately documenting vehicle and audit information • Ensure timely , accurate data is submitted to support our audit programs, reporting, and automotive market valuation • Work independently while meeting quality standards and assigned deadlines

Kansas
$240 / month
CLEAResult logo

Commercial Energy Auditor

CLEAResult

We change the way people use energy.™

Auditor4 days ago
Full TimeRemoteTeam 1,001-5,000Since 2003H1B Sponsor

• Travel daily throughout a defined territory • Conduct entry-level commercial energy audits for small and mid-sized facilities • Engage directly with customers and contractors to explain program offerings, encourage participation, and address basic questions • Accurately document inspections, installations, and customer interactions in accordance with program requirements • Perform on-site installation of energy efficiency measures, including physical labor and use of basic tools • Identify, troubleshoot, and escalate basic technical or installation issues to program staff as needed

Mississippi
$18 - $28 / hour
AECOM logo

Senior EHS Compliance Auditor

AECOM

AECOM is a global Fortune 500 multinational engineering company that provides consulting, design, management, and construction services to clients in a broad ra

Auditor4 days ago

• Plan, participate, and lead various styles of audit programs • Conduct/lead EHS compliance audits • Conduct/lead process safety management and risk management program audits • Conduct/lead supply chain due diligence/risk audits • Conduct/lead waste receiving facility audits • Lead development of permitting and EHS compliance strategies • Coordinate for management of client EHS compliance programs • Develop and deliver EHS training • Provide regulatory interpretation of EHS laws and develop compliance strategies • Maintain knowledge of current and emerging USEPA, OSHA, and state EHS regulatory requirements • Develop effective business presentations and proposals

United States
$100K - $150K / year