Position Overview
We are seeking a highly skilled professional for a remote auditing role focusing on Coding & Clinical Chart Validation within our Inpatient audit team. The ideal candidate will possess both clinical (nursing) expertise and a solid background in coding and auditing, specifically in Inpatient DRG/APR-DRG. This position involves auditing inpatient claims and documenting audit results with a focus on clinical review, coding accuracy, and the appropriateness of treatment settings and services provided.
Key Responsibilities
Claims Analysis and Auditing: Conduct thorough reviews of inpatient claims, integrating medical chart coding principles and clinical guidelines. Utilize advanced ICD-10 coding knowledge and industry expertise to substantiate audit conclusions. Perform audits independently.
Audit Tools Utilization: Proficiently use Cotiviti's proprietary auditing systems to make audit determinations and generate audit correspondence.
Productivity Standards: Achieve and maintain production goals set by the audit operations management team.
Accuracy and Quality: Meet or exceed accuracy and quality standards for claim identification and documentation, including letter writing.
New Claim Types: Identify potential claims outside of current concepts that may offer additional recoveries. Propose and develop high-value improvements or tools for the auditing process.
Performance and Special Projects: Complete all responsibilities outlined in the annual Performance Plan and undertake special projects or additional duties as assigned. Perform duties with or without reasonable accommodation.
Qualifications
Education:
Certification:
Experience:
Skills:
Mental Requirements:
Physical Requirements:
Compensation and Benefits
Base Compensation: $44.23 per hour (approximately $92,000 annually). Eligible for discretionary bonus consideration.
Benefits Package: Cotiviti offers a competitive benefits package, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on service level.
Application Details
Equal Employment Opportunity
Cotiviti is an equal employment opportunity employer. We value diversity and make hiring decisions based on qualifications, without regard to race, color, creed, sex, age, religion, pregnancy, national origin, sexual orientation, marital status, genetic carrier status, military service, veteran status, disability, or any other category protected by federal, state, or local laws. All employment decisions are made in accordance with equal employment opportunity principles.
Pay Transparency Nondiscrimination Provision
Cotiviti will not discriminate against employees or applicants for discussing or disclosing their pay or the pay of others. Employees with access to compensation information as part of their job functions are restricted from disclosing this information, except in specific circumstances such as formal complaints, investigations, or legal obligations.
Gujarat :
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Delhi | India | New Delhi | PAN-India |Assam :
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Siliguri |Illinois :
Abbott Park | Bloomingdale | Champaign | Chicago | Deerfield | Glenview | Lake Forest | Lombard | Naperville | Norridge | Park RIdge | Round Lake |Maryland :
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Anchorage | Barrow | Bethel | Juneau | Sitka | Wrangell |Massachusetts :
Andover | Billerica | Boston | Cambridge | Devens | Lexington | Massachusetts | Medford and Somerville | Rockland |Wisconsin :
Appleton | Kenosha | Pleasant Prairie | Portage | Waukesha |United states :
Arizona | Buffalo Grove | Clayton | Downers Grove | fairmont | Georgia | Keene | Michigan | Mt. Pleasant | New Jersy | OH | Piedmont | Salisbury | United States | Whitesboro | Winston-Salem |Georgia :
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Detroit | Houghton Lake | Macomb | Southfield |North Dakota :
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Frank Scottile Blvd |Missouri :
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Lisbon | Oeiras | Portugal |WI :
Madison | Wausau |Republic of Mexico :
Mexico |northeastern :
New Hampshire |Oklahoma :
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Washington |Delaware :
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Kiel |Berlin :
Mitte |Mecklenburg Vorpommern :
Rostock |Saarland :
Saarbrucken |Switzerland :
Basel | Zurich |Serbia :
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Budapest |BULGARIA :
Bulgaria | Vedant |Denmark :
Copenhagen | Denmark |Europe :
Europe | France | Latvia | Lendava | Leuven | Poland | Slovenia | Spain |Finland :
Finland |Istanbul :
Istanbul | Turkey |Norway :
Norway | NOrway |Romania :
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Carlow |Republic of Ireland :
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Donegal |Meath :
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Galway |County Dublin :
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China | Quarry Bay |Liaoning :
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Wuhan |Capital of Netherland :
Amsterdam |North Brabant :
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Haarlem |South Holland :
Leiden |Netherlands :
Netherlands |Remote Australia :
Arkansas | Remote Australia |New South Wales :
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Nedlands |Queensland :
Queensland |Melbourne :
South Yarra |United Kingdom :
England | Harlow | Leeds | London | Maidenhead | Salt Lake City | Stevenage | Stirling | United Kingdom |North Yorkshire :
Harrogate |South Yorkshire :
Sheffield |Oxfordshire :
Witney |Ontario :
Uxbridge | North York | Richmond Hill | Renfrew | Mississauga | Australia |Canada :
Canada |Quebec :
Montreal |Brussels :
Brussels |Antwerp :
Heist op den Berg |Flemish Brabant :
Zaventem |South America :
Argentina | Peru |Brazil :
Brazil | Sao paulo |Attica :
Athens | Koropi |Greece :
Greece |North Island :
Auckland |New Zealand :
New Zealand |Austria :
Austria |Vienna :
Vienna |Catalonia :
Barcelona |Madrid :
Madrid |Cebu Province :
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Manila |Croatia :
Croatia |Zagreb :
Zagreb |Estonia :
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Tallinn |Hà Nội :
Hà Nội | Hanoi |Ho Chi Minh :
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Italy |Lombardy :
Rho |Jakarta :
Jakarta |East Java :
Surabaya |Japan :
Japan | Saitama |Tokyo :
Otemachi |North Ostrobothnia :
Oulu |Southwest Finland (Varsinais-Suomi) :
Turku |Remote Korea :
Remote Korea |Republic of Korea :
Seoul |Kazakhstan :
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Brentwood |Bucharest :
Bucharest |Buenos Aires :
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New Mexico | Ciudad de México |Dubai :
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Kyiv |Lima Region :
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Niš |Bohemia :
Prague |Chile :
Santiago |Bosnia and Herzegovina :
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