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Cotiviti is seeking a Medical Review Manager to lead Clinical Chart Validation reviews through expert knowledge and collaboration across teams. Candidates must possess a Bachelor's degree in Nursing and relevant certifications, with at least 5 years of auditing experience. The role offers competitive compensation and is suited for those driven by regulatory compliance and healthcare standards. With a range of benefits, this position supports various personal and family needs.
Overview
The Medical Review Manager (MRM) is responsible for coordinating the components of Clinical Chart Validation (CCV) reviews across audit staff, content staff, and associated processes. The MR Manager shall have broad knowledge of the CCV program and working knowledge of all non-Recovery Audit (RAC) lines of business requirements and activities. The MR Manager shall be responsible for keeping abreast of regulatory, policy, and coding changes as well as clinicalpractice, coding rules, and technology changes that may result in improper payments.
ResponsibilitiesThis job description is intended to describe the general nature and level of work being performed and is not to beconstrued as an exhaustive list of responsibilities, duties and skills required.This job description does not constitutean employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.
QualificationsBase compensation ranges from $105,000 to $130,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 05/30/2025
Applications are assessed on a rolling basis. We anticipate that the application window will close on 07/30/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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