Auditor - Medical Coding & Reimbursement Quality

Cotiviti Philippines Inc; Manila; On-site; PHP 400,000 - 700,000; Full time

Job summary

Cotiviti Philippines Inc. invites applications for Auditor to support a growing client base by applying clinical and coding expertise to ensure accurate descriptions and correct reimbursements.

The Auditor will perform daily data audits, respond to appeals, collaborate with the India team, and participate in training that aligns with US working hours before shifts overlap Philippines time.

Qualifications

• Strong analytical, critical thinking and problem-solving skills.
• Excellent verbal and written communication skills.
• Be a quick learner and proficient in application of learnings.
• Strong organizational skills and adaptability to changing priorities.
• Ability to work independently with focused attention to detail.

Responsibilities

• Perform daily audits on client data for completeness and accuracy of coding.
• Respond to provider appeals and client logics/record reviews.
• Monitor acceptance rates and assist management to detect deviations.
• Report work performance timely to team lead; maintain productivity/quality.
• Engage in ongoing learning and development and attend trainings.
• Work US hours during training (8–12 weeks) and overlap with US hours afterward.
• Required to work from office and coordinate with India team.

Skills

Analytical thinking

Verbal & written communication

Quick learner

Organizational skills

Independent worker

Education

Registered Nurse with CIC/CCS

Tools

Microsoft Word

Excel

PowerPoint

Outlook

Job description

Cotiviti Philippines Inc. invites applications for Auditor to support a growing client base by applying clinical and coding expertise to ensure accurate descriptions and correct reimbursements.

The Auditor will perform daily data audits, respond to appeals, collaborate with the India team, and participate in training that aligns with US working hours before shifts overlap Philippines time.