Medical Coder Job in Cotiviti

JOB RESPONSIBILITIES

• Accurately analyzes provider documentation and ensure that appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes.
• Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
• Evaluates medical records for consistency and adequacy of documentation.
• Maintains compliance standards as per the policies and reports compliance issues as required.

ATTRIBUTES AND BEHAVIORS

• Develops and maintains positive working relationships with others.
• Shares ideas and information.
• Team player.
• Takes pride in the achievement of team objectives.
• Has credibility with peers and senior managers.
• Self-motivated driven to achieve results.
• Keeps pace with change acquires knowledge/skills as the business evolves.
• Handles confidential information with sensitivity.

RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS

• Bachelors degree in any stream (preferably Life Science).
• Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) with knowledge of HCPCS, ICD, CPT, and DRG preferred.
• Minimum one year of experience in medical coding.
• Knowledge of ICD-10 coding preferred.

SKILLS & COMPETENCIES

• Analytical thinking and problem solving skills.
• Good verbal and written communication skills.
• Excel proficiency.
• Ability to work independently and accomplish targets in a timely manner.

JOB DEMANDS

• Ability to work seated at a computer for long periods of time.
• Candidate should be ready to work in night shift.

KEY CONSTITUENTS

• No direct reports.

Works with all Cotiviti business teams, especially with the medical coding team