Concept Development Analyst DRG PCCV Job Locations US Remote ID 2024 12703 Category Audit Healthcare Position Type Full Time Overview As a Concept Development Analyst (CDA) within the Clinical Chart Validation team, you'll spearhead the identification, creation, and implementation of inpatient claim selection rules focusing on the payment integrity of the billed DRG. Leve

Concept Development Analyst DRG APR Expansion Job Locations US Remote ID 2024 12704 Category Audit Healthcare Position Type Full Time Overview As a Concept Development Analyst (CDA) within the Clinical Chart Validation team, you'll spearhead the identification, creation, and implementation of inpatient claim selection rules focusing on the payment integrity of the billed

Concept Development Analyst Readmissions Job Locations US Remote ID 2024 12705 Category Audit Healthcare Position Type Full Time Overview In the role of Concept Development Analyst within our Clinical Chart Validation organization, you will lead in the identification, creation, and implementation of innovative concepts within the healthcare billing and coding field. Drawi

Business Analyst I Job Locations US Remote ID 2024 12183 Category Product Management Position Type Full Time Overview The Business Analyst will be responsible for driving results by supporting the product team in their efforts to deliver new products, enhancing existing products, and to implement medium to large scale projects. In addition, they will support activities re

Actively promotes and participates in process improvement. Participate in the design and development of dynamic data quality monitoring tools to preemptively identify defective data. Conduct detailed claims analysis and ad hoc reporting as prioritized by management. Produce work that reflects a focus on quality in consideration of the client's (internal and external) need

Medical Director Job Locations US Remote ID 2024 12144 Category Clinical Operations Position Type Full Time Overview The Client Medical Director (CMD) is a key member of the Go To Market team. Along with the Client Engagement Leader, the CMD co captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The CMDs role is to serve as a

End User Computing Analyst Job Locations US PA Blue Bell ID 2024 12604 Category Engineering/IT Position Type Full Time Overview This is an onsite position at our Blue Bell, PA office. In the End User Computing Analyst role, you will provide support for internal employees for all IT services. You will also process incoming technical support incidents and requests through t

Software Engineer MS Access Job Locations US Remote ID 2024 12453 Category Engineering/IT Position Type Full Time Overview The Software Engineer is responsible for the design and development of software applications and reusable software components for the Cotiviti, Inc. product suite, in compliance with predefined coding standards and technical design. You will be requir

Temporary Records Processing Agent (Mailroom) Onsite Blue Bell, PA Job Locations US PA Blue Bell ID 2024 12118 Category Customer Service/Retrieval Operations Position Type Full Time Overview The Records Processing Agent processes incoming and outgoing mail containing medical records and requests for records as well as document reproduction while maintaining production and

Auditor, DRG Coding & Clinical Validation Job Locations US Remote ID 2024 12174 Category Audit Healthcare Position Type Full Time Overview The Auditor, DRG Coding & Clinical Validation position has an extensive background in either facility based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding in reimbursement guidelines spec

Sales VP, Payment Accuracy Job Locations US Remote ID 2024 12377 Category Sales Position Type Full Time Overview This is a hunter role in the healthcare payer space. Extensive experience calling on and selling to Health Plan "C" level executives, SVP Business Owners, procurement, VPs and directors is essential. Experience working in a leading Health Plan software and serv

Audit Support COB and DM Job Locations US Remote ID 2024 12673 Category Audit Healthcare Position Type Full Time Overview The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining Business Units (BUs.) This individual will efficiently and professionally handle daily administrative activities wit

Payment Accuracy Specialist Job Locations US Remote ID 2024 12696 Category Audit Healthcare Position Type Full Time Overview Cotiviti is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to impr

Senior Software Engineer Job Locations US Remote ID 2024 12620 Category Engineering/IT Position Type Full Time Overview The Sr. Software Engineer is primarily responsible for the performance and stability of critical applications. You will be expected to implement changes, bug fixes that support onboarding of new clients and quick resolution of production issues. You are

Data Analyst I Job Locations US Remote ID 2024 12709 Category Audit Healthcare Position Type Full Time Overview At Cotiviti, we are custodians of data for our clients, which requires efficient processes to manage data implementations, data production, data quality and data security. The Data Analysis function provides insight into different aspects of the data operations