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
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
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