Cotiviti US & Canada Page
Auditor Clinical Validation DRG
Cotiviti US & Canada Page, Myrtle Point, Oregon, United States, 97458
Why consider this job opportunity
Salary up to $45.67 per hour (approximately $95,000 annually)
Eligible for discretionary bonus consideration
Comprehensive benefits package, including medical, dental, vision, disability, and life insurance
Paid family leave and 9 paid holidays per year
Generous Paid Time Off (PTO) ranging from 17 to 27 days per year, depending on tenure
Flexible remote work opportunity
What to Expect (Job Responsibilities)
Analyze and audit claims using medical chart coding principles and clinical guidelines
Utilize proprietary auditing systems to make determinations and generate audit letters
Maintain production and accuracy goals set by the audit operations management team
Identify potential claims for additional recoveries and suggest process improvements
Complete special projects and other duties as assigned
What is Required (Qualifications)
Associate or bachelor’s degree in nursing with an active/unrestricted license, or in Health Information Management (RHIA or RHIT), or a high school diploma/GED with 5+ years of relevant experience
Coding/CDI certification (RHIA, RHIT, CPC, CCS, CIC, CDIP, or CCDS) required and must be maintained
5 to 7+ years of experience with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG
Expert knowledge of coding guidelines and compliance regulations
Proficiency in Microsoft Word, Access, Excel, TEAMS, and excellent communication skills
How to Stand Out (Preferred Qualifications)
Experience in claims auditing, quality assurance, or recovery auditing in a DRG/Clinical Validation Audit setting or hospital environment
#HealthcareAuditing #RemoteWork #CompetitiveSalary #CareerGrowth #BenefitsPackage
#J-18808-Ljbffr
Salary up to $45.67 per hour (approximately $95,000 annually)
Eligible for discretionary bonus consideration
Comprehensive benefits package, including medical, dental, vision, disability, and life insurance
Paid family leave and 9 paid holidays per year
Generous Paid Time Off (PTO) ranging from 17 to 27 days per year, depending on tenure
Flexible remote work opportunity
What to Expect (Job Responsibilities)
Analyze and audit claims using medical chart coding principles and clinical guidelines
Utilize proprietary auditing systems to make determinations and generate audit letters
Maintain production and accuracy goals set by the audit operations management team
Identify potential claims for additional recoveries and suggest process improvements
Complete special projects and other duties as assigned
What is Required (Qualifications)
Associate or bachelor’s degree in nursing with an active/unrestricted license, or in Health Information Management (RHIA or RHIT), or a high school diploma/GED with 5+ years of relevant experience
Coding/CDI certification (RHIA, RHIT, CPC, CCS, CIC, CDIP, or CCDS) required and must be maintained
5 to 7+ years of experience with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG
Expert knowledge of coding guidelines and compliance regulations
Proficiency in Microsoft Word, Access, Excel, TEAMS, and excellent communication skills
How to Stand Out (Preferred Qualifications)
Experience in claims auditing, quality assurance, or recovery auditing in a DRG/Clinical Validation Audit setting or hospital environment
#HealthcareAuditing #RemoteWork #CompetitiveSalary #CareerGrowth #BenefitsPackage
#J-18808-Ljbffr