Analyzes and Audits Claims
Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities
Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions
This review may include medical record review and/or episode of care reviews
Performs work independently
Effectively Utilizes Audit Tools
Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit determinations
Meets or Exceeds Standards/Guidelines for Productivity
Maintains production goals set by the audit operations management team
Complete all special projects and other duties as assigned.

Enrolled in higher education BS or MS program with clinical or health information management focus
Successful completion of an ICD-10 and PCS coding course is required (coding certification preferred i.e., RHIA, RHIT, CPC, CCS)
Basic to Intermediate knowledge of medical and coding terminology is required
Proficiency in Word, Access, Excel, TEAMS, and other applications
Excellent written and verbal communication skills
Self-motivated and self-organizing worker and learner
Strong communication and interpersonal skills.

Intern – Associate Auditor, Medical Coding Validation

Key skills