[Remote] Content Analyst II
Note: The job is a remote job and is open to candidates in USA. Cotiviti is a company focused on clinical operations and content management, and they are seeking a Content Analyst II to join their team. This role involves researching and analyzing medical policies, providing coding expertise, and ensuring the accuracy of the policy library.
Responsibilities
- Provide coding and industry expertise to help create and maintain clinical coding edits
- Responsible for writing business logic for new rules and enhancements by translating industry references into Cotiviti policy
- Reviews and identifies changes to medical policies in order to maintain an accurate and current medical policy library
- Work with the client teams to provide coding and clinical expertise for customer and provider inquiries, questions, challenges, or appeals to clinical rules
- Assumes full ownership and accountability for assigned medical policies
- Performs multi-faceted analytics for data and report analysis with minimal direction
- Mentor and train new staff
- Performs QA of policy reviews, logic revisions, and research requests performed by others to ensure accuracy
- Maintains current knowledge-base of industry and Cotiviti content, best practices, applications, procedures, and policies
Skills
- One of the following degrees is required: Active professional license as a Registered Nurse (BSN preferred), Pharmacist (BSPharm or PharmD), Bachelor's degree (healthcare-related field preferred), Offshore Medical Degrees (MBBS or higher)
- Minimum of 5 years of experience in a clinical setting as a nurse, pharmacist, or physician OR minimum of 6 years of clinical coding experience, preferably in a payer setting
- Minimum of 3 years of experience in internet-based research as it relates to codes (CPT, HCPCS, ICD, or NDC)
- Familiarity with claims payment and reimbursement methodologies as well as medical policy rules and edits
- Ability to analyze complex data and synthesize it for customer and internal consumption
- Ability to work well both independently and collaboratively, in a fast-paced and demanding environment
- Effective at managing timelines and multiple projects with high accuracy and attention to detail
- Strong analytical, critical thinking, and problem-solving skills
- Proficiency in Microsoft Office suite
- Excellent interpersonal, verbal, and written communication skills
- Professional certification (RHIA, RHIT, CPC, CPC-H, CPC-P, or CCS-P) preferred or willing to pass certification exam within one year of employment
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 with Cotiviti
Company Overview
Company H1B Sponsorship