Solve problems by identifying errors and over payments for our retail clients Use your creativity to help generate new ideas for claim concepts and recovery opportunities Learn and use multiple computer software, systems and technology Achieve excellence by meeting and exceeding audit team goals and quality measures Serve clients by responding to questions or inquiries Ap

Senior Investigator (Healthcare Fraud) Job Locations US Remote ID 2023 11581 Category Fraud, Waste, & Abuse Position Type Full Time Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role . This posit

Auditor I Contract Compliance (Retail) Job Locations US Remote | CA ON Remote ID 2023 10979 Category Audit Retail Position Type Full Time Overview We are a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in contributing

Solve problems by identifying errors and over payments for our retail clients Use your creativity to help generate new ideas for claim concepts and recovery opportunities Learn and use multiple computer software, systems and technology Achieve excellence by meeting and exceeding audit team goals and quality measures Serve clients by responding to questions or inquiries Ap

Temporary MIPS Agent 1 Medical Imaging Processing (Remote) Job Locations US Remote ID 2024 11925 Category Customer Service/Retrieval Operations Position Type Full Time Overview The purpose of the MIPS (Medical Image Processing) Agent is to review and associate medical records to the appropriate requests while maintaining adequate production and quality levels through trac

s for the department. Responsible for vendor negotiations and management. Develops strategies and makes recommendations to senior management. Ensure that work activities within the area of responsibility and business departments remain aligned with overall departmental and business projects. Decisions can significantly impact the expenditure of t ime and resources across m

Senior Software Engineer Job Locations US Remote ID 2024 12620 Category Engineering/IT Position Type Full Time Overview The Sr. Software Engineer is primarily responsible for the performance and stability of critical applications. You will be expected to implement changes, bug fixes that support onboarding of new clients and quick resolution of production issues. You are

Intern Technology Solutions Analyst Job Locations US Remote ID 2024 12626 Category Engineering/IT Position Type Full Time Overview The Intern Technology Solutions Analyst is responsible for researching technologies and use cases for Cotiviti solutions. This internship role will report to the Director of Platform Strategy & Innovation and work on Portfolio Prospecting with

Senior Quality Analyst Job Locations US Remote ID 2024 12638 Category Engineering/IT Position Type Full Time Overview The Sr Quality Analyst tests web applications and software to ensure standards are met by reviewing requirements, specification, and technical design documentation, identifying risk to system functionality, creating test plans and executing test cases. Res

Senior Revenue Cycle Specialist Job Locations US Remote ID 2024 12677 Category Audit Healthcare Position Type Full Time Overview Join our dynamic Revenue Cycle team within the Yield Management Division as a Senior Revenue Cycle Specialist. Collaborate closely with other members of Yield to exceed department expectations. As a Senior Revenue Cycle Specialist, you will lead

Concept Development Analyst DRG PCCV Job Locations US Remote ID 2024 12703 Category Audit Healthcare Position Type Full Time Overview As a Concept Development Analyst (CDA) within the Clinical Chart Validation team, you'll spearhead the identification, creation, and implementation of inpatient claim selection rules focusing on the payment integrity of the billed DRG. Leve

Concept Development Analyst DRG APR Expansion Job Locations US Remote ID 2024 12704 Category Audit Healthcare Position Type Full Time Overview As a Concept Development Analyst (CDA) within the Clinical Chart Validation team, you'll spearhead the identification, creation, and implementation of inpatient claim selection rules focusing on the payment integrity of the billed

Concept Development Analyst Readmissions Job Locations US Remote ID 2024 12705 Category Audit Healthcare Position Type Full Time Overview In the role of Concept Development Analyst within our Clinical Chart Validation organization, you will lead in the identification, creation, and implementation of innovative concepts within the healthcare billing and coding field. Drawi

Actively promotes and participates in process improvement. Participate in the design and development of dynamic data quality monitoring tools to preemptively identify defective data. Conduct detailed claims analysis and ad hoc reporting as prioritized by management. Produce work that reflects a focus on quality in consideration of the client's (internal and external) need

Senior Storage Engineer Job Locations US Remote ID 2024 12725 Category Engineering/IT Position Type Full Time Overview As a Sr. Storage Engineer, you will be responsible for overseeing all aspects of SAN, NAS, and backup administration, encompassing tasks such as architecting, installation, upgrades, patching, tuning, and providing support and troubleshooting. The role wi