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,

Manager, Audit Content

Location

United States

Posted

5 days ago

Salary

$119K - $150K / year

Seniority

Lead

Bachelor Degree8 yrs expEnglish

Job Description

Manager, Audit Content

Cotiviti

• Provide leadership to the team by communicating all expectations and ensuring alignment with Cotiviti’s long-term objectives • Motivate employees through individual, team, and department recognition • Recruit and hire new staff, manage existing staff, and develop and implement training and orientation programs • Ensure goals and standards are consistently met, removing roadblocks to exceptional performance • Monitor team coverage of responsibilities and ensure accountability. • Lead all efforts with new products, collaborating with Product Managers to ensure success • Optimize business tools to support innovation and optimize coding-based content • Foster an environment of innovation and document standard operating procedures

Job Requirements

  • Bachelor’s degree in Nursing, Health Information Management (HIM), or a related field required
  • State licensure or AHIMA/AAPC coding certification (CPC, CPC-H, or CCS) required
  • A minimum of 8 years of related experience in healthcare, with proven expertise in Hospital, Home Health, Hospice, DME, SNF, or Physician Billing
  • Minimum of 3 years of medical record auditing experience, preferably at Cotiviti or a similar payment integrity company
  • Previous management experience required
  • Proficient in Microsoft Word, Excel (including Pivot tables), Access, and Outlook
  • Advanced proficiency with healthcare coding systems (CPT4, HCPCS, DRG, ICD-9, ICD-10, Modifiers, Revenue Codes, etc.)
  • Familiarity with Medicare reimbursement methodologies, billing guidelines, and claim adjudication standards
  • Exceptional written and verbal communication skills with the ability to mentor and teach.
  • Strong leadership and team-building abilities, with a focus on fostering a culture of collaboration and high performance.

Benefits

  • medical, dental, vision, disability, and life insurance coverage
  • 401(k) savings plans
  • paid family leave
  • 9 paid holidays per year
  • 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service

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