Cotiviti - US
Concept Development Analyst
Pay$95000.00 - $120000.00 / year
LocationRemote
Employment typeOther
What's your preference?
Job Description
- Req#: 13905
Employer Industry: Healthcare Billing and Coding
Why consider this job opportunity:
- Salary up to $120,000 per year
- Eligible for discretionary bonus consideration
- Competitive benefits package, including medical, dental, vision, and life insurance
- Generous Paid Time Off (PTO) ranging from 17-27 days per year, depending on tenure
- Opportunity to work remotely, providing flexibility in your work environment
- Engage in innovative solutions that enhance claim selection processes and payment integrity
What to Expect (Job Responsibilities):
- Lead the identification and implementation of innovative billing and coding solutions in healthcare
- Analyze healthcare billing rules and translate them into actionable data queries
- Collaborate with technical engineers and audit teams to optimize processes and enhance client satisfaction
- Monitor query outputs and evaluate audit performance outcomes
- Educate team members and stakeholders on audit opportunities and concepts
What is Required (Qualifications):
- Bachelor’s or graduate degree preferred; equivalent related health field experience will be considered
- Minimum of 5 years of experience in medical billing, coding, auditing, finance, or accounting
- Proficiency with Medicare reimbursement methodologies and billing guidelines required
- Strong analytical and investigative skills, with proven experience in data mining and analysis
- Excellent verbal and written communication skills
How to Stand Out (Preferred Qualifications):
- AAPC or AHIMA certification (e.g., coding, revenue cycle) preferred
- Experience with data analysis tools and software, such as SQL or SAS
- Prior auditing or consulting experience in a provider or payer environment
- Familiarity with ChatGPT or similar AI tools
#HealthcareBilling #Coding #RemoteWork #CareerGrowth #CompetitiveBenefits
"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.