Cotiviti US & Canada Page
Myrtle Point, OR, USA
Overview Cotiviti has multiple openings for full-time coders....these roles will focus on claims audits for appeals, checking for completeness & accuracy based on coding guidelines. Experience with E&M coding & auditing is preferred. These are full-time remote positions and can be done anywhere within the continental US and will work a traditional day time schedule.
Responsibilities Clinical Validation - Perform daily audits on provider appeals for completeness and accuracy based on specified coding guidelines to ensure appropriateness for reimbursement.
Apply client specific coding guidelines when applicable.
Learns new appeal categories as production need requires.
Stays current on coding guidelines appropriate to the position.
Uses the Cotiviti applications to processes CV appeals to meet both production and accuracy standards.
Reviews quality feedback from QA.
Submits questions for clarification as needed.
Utilizes the “QA Resolution” process when disagreement...