Content Solutions Analyst I

Cotiviti - US; United States; Remote; USD 90,000 - 115,000; Full time

Job summary

A leading healthcare analytics organization seeks a qualified candidate for a dynamic role that involves conducting research and developing clinical coding policies. The position offers a competitive salary of up to $115,000 per year, along with comprehensive benefits and flexibility to work remotely. Ideal candidates will possess strong analytical skills and a background in nursing or pharmacy, along with the ability to manage multiple projects in a fast-paced environment.

Benefits

Comprehensive benefits package

401(k) savings plans

Generous Paid Time Off (PTO)

Flexible remote work opportunity

Qualifications

• Experience in clinical/retail settings; clinical coding in a payer setting required.
• Must obtain relevant certifications within one year.
• Excels in research related to coding and internal role experience.

Responsibilities

• Conduct research and quality assurance for new medical policies.
• Provide clinical coding policies and manage multiple projects.
• Collaborate with teams to analyze data and ensure high accuracy.

Skills

Analytical skills

Critical thinking

Problem-solving

Education

BS in Nursing, Pharmacy or equivalent

Tools

Microsoft Office Suite

Job description

Employer Industry: Healthcare Analytics

Why consider this job opportunity:
- Salary up to $115,000 per year
- Comprehensive benefits package including medical, dental, vision, and life insurance
- 401(k) savings plans and paid family leave
- Generous Paid Time Off (PTO) ranging from 17-27 days per year
- Opportunity for career advancement and growth within a leading healthcare analytics organization
- Flexible remote work opportunity

What to Expect (Job Responsibilities):
- Conduct research and quality assurance for new medical policies and analyze current policies
- Provide coding, claims processing, and industry expertise to develop clinical coding policies
- Collaborate with product teams to offer clinical expertise for new policy rollout
- Manage timelines and multiple projects while ensuring high accuracy and attention to detail
- Perform multi-faceted analytics for data and report analysis with minimal direction

What is Required (Qualifications):
- BS in Nursing, Pharmacy (BSPharm or PharmD), or equivalent offshore medical/pharmacy degree
- Must have or be willing to obtain relevant certifications (e.g., RHIA, RHIT, CPC, etc.) within one year of employment
- Minimum of 3 years in a clinical/retail setting or clinical coding in a payer setting
- Additional 3 years of research experience related to coding or relevant internal role experience
- Strong analytical, critical thinking, and problem-solving skills with proficiency in Microsoft Office Suite

How to Stand Out (Preferred Qualifications):
- 5 years of experience in detailed rule requirement gathering, rule development, and collaborating on software enhancements
- Excellent interpersonal, verbal, and written communication skills

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