Content Solutions Analyst I (Certified Lab Coder)

Cotiviti; Northern (KY); Hybrid; USD 95,000 - 115,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

401(k) savings plan

Paid family leave

Holidays

Job summary

Cotiviti is seeking a Content Solutions Analyst I to join the Genetics/Lab Content Team. You will research medical policies, analyze coding rules, and help expand the Cotiviti payment policy library, with focus on genetics and laboratory policies.

You will collaborate with policy, data, and product teams to translate industry references into policy logic, perform complex data analytics, and support education for clinical professionals.

Qualifications

• BS in Nursing.
• Pharmacist degrees accepted.
• Nationally recognized coding credential through AHIMA or AAPC is required.

Responsibilities

• Familiarity with claims payment and medical policy rules and edits.
• Analyze complex data and synthesize for customers and internal use.
• Work independently and in a fast-paced, demanding environment.
• Manage timelines and multiple projects with high accuracy.
• Provide coding, claims processing, and industry expertise for policy development.
• Write business logic for new rules and enhancements translating industry references into Cotiviti policy.
• Collaborate with developers and architects on rule engine enhancements.
• Guide and input during grooming sessions with ART and Go to Market teams.
• Support policy rollout with Product and GTM teams.

Skills

Genetics coding

Lab coding

Rule development

Data analysis

Microsoft Office

Communication

Education

BS in Nursing

Pharmacist (BSPharm or PharmD)

Off-shore Medical or Pharmacy degree (MBBS or higher)

Other Bachelor’s degree

AHIMA or AAPC credential (CCS, CPC)

Tools

CPM/CSM knowledge

Job description

Overview

The Content Solutions Analyst I is a key member of the clinical operations and content team responsible for the research, quality assurance, and opportunity analysis associated with new medical policies. In addition, this position will be responsible for review and analysis of current medical policies and assisting in the research necessary to define additional logic and algorithms to expand the Cotiviti payment policy library.

The Content Solutions team works within Payment Policy Management and supports all of our PPM Solutions: outpatient, inpatient, genetics, pharmacy, fraud, and dental. This role is intended to work within our Genetics/Lab Content Team and we are looking for an experienced certified lab coder to support medical policy & edit development. There is no expectation, if hired, that you will align with only one solution and you should be prepared to work in all of our solutions.

Responsibilities

• Familiarity with claims payment and reimbursement methodologies as well as medical policy rules and edits.
• Ability to analyze complex data and synthesize it for customer and internal consumption.
• Ability to work well both independently and collaboratively, in a fast-paced and demanding environment.
• Effective at managing timelines and multiple projects with high accuracy and attention to detail.
• Provide coding, claims processing and industry expertise to help create clinical coding policy or pharmacy claims editing policy.
• Responsible for writing business logic for new rules and enhancements by translating industry references into Cotiviti policy.
• Provide input on any new, or complex enhancements to the rule engine developers as well as system architects.
• Work within the ART, specifically providing guidance and input to TPO’s/developers during grooming sessions.
• Work with Product and the Go to Market teams, to provide coding and clinical expertise for new policy rollout.
• Ensure internal Cotiviti operational teams have a clear vision and understanding of the content solutions roadmap to ensure lock step on incoming work.
• This position requires maximum guidance from mentors and leadership.
• Perform multi-faceted analytics for data and report analysis with minimal direction.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications

**Specific to the Content Solutions Analyst role focused on Labs**

Education & Certification:

• BS in Nursing.
• Pharmacist (BSPharm or PharmD).
• Off-shore Medical or Pharmacy degree (MBBS or higher).
• Other Bachelors degree (or equivalent work experience). PREFERRED

AND

• Nationally recognized coding credential through AHIMA or AAPC - CCS, CPC, etc. REQUIRED

Experience:

• 5+ years in coding/billing experience for a large lab that performs genetic testing and other unrelated lab services.
• Expert in all aspects of genetics and lab coding, and able to provide education/support to clinical professionals (Genetic Counselors & others).
• An additional 3 years research experience related to coding (CPT, HCPCS, ICD, NDC) OR at least 3 years in an internal Cotiviti role (CPM, CSM, Content Analyst, etc.).
• 5 years previous experience in detailed rule requirement gathering, rule development, and collaborating on software enhancements preferred.
• Experience supporting Laboratory payment integrity rule development, including coding research and rule logic application, is preferred.
• Strong analytical, critical thinking and problem-solving skills.
• Proficiency in Microsoft Office Suite.
• Excellent interpersonal, verbal and written communication skills.

Job Demands:

• Must have flexibility and willingness to participate in the work processes of an international organization.
• After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent).

Mental Requirements:

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
• No adverse environmental conditions expected.

Base compensation ranges from $95,000 to $115,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including

• medical
• dental
• vision
• disability
• life insurance coverage
• 401(k) savings plans
• paid family leave
• 9 paid holidays per year
• 17-27 days of Paid Time Off (PTO) per year

For information about our benefits package, please refer to our Careers page.

Date of posting: 8/19/2026