Cotiviti · 15 hours ago
Dental Analyst I
United States
Full-time
Remote
Entry Level
$20/hr - $25/hr
3+ years expCotiviti is seeking a Dental Analyst I to perform daily reviews and audits on client data for completeness and accuracy of coding. The role involves utilizing coding knowledge to ensure appropriateness for reimbursement and providing recommendations on clinical claims, while adhering to structured guidelines.
Responsibilities
Perform daily audits on client data for completeness and accuracy of coding utilizing coding background to ensure appropriateness for reimbursement. When providing recommendations on clinical claims to the client: Does not interpret or evaluate clinical information but performs duties according to structured algorithms or other written guidelines. Licensed personnel provide oversight and follow-up for clinical related questions or issues such as the use of the algorithms or structured guidelines
Respond to provider appeals of non-clinical issues
Respond to client logics and record reviews of non-clinical issues
Assess and respond to client/provider educational needs
Monitor acceptance rates for assigned clients and assist management in proactively detecting negative deviations
Contribute to the team by providing feedback to the Management and Development team on changes to enhance the editing and efficiency as well as passing on client feedback. Participates on the Quality Committee as required
Completes all responsibilities as outlined on annual Performance Plan
Must be able to perform duties with or without reasonable accommodation
Qualification
Required
High School Diploma, GED or equivalent work experience
Minimum of 3 years work experience in a clinical role in the dental office, as a Dental Assistant or Dental Hygienist
Has general knowledge of dental procedures, conditions, and treatment practices
Has excellent written and verbal communication skills
Has the ability to think logically and process sequentially with a high level of detailed accuracy
Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc
Has the ability to conduct training to both internal staff and clients in an efficient and effective manner
Preferred
Dental coding certificate preferred - Have this credential or ability to sit for it
Benefits
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, depending on specific level and length of service with Cotiviti.
Company
Cotiviti
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States.
5001-10000 employees
H1B Sponsorship
Cotiviti has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (165)
2024 (118)
2023 (90)
2022 (102)
2021 (72)
2020 (67)
Funding
Current Stage
Late StageLeadership Team
Adam Gilbert
Director, Interoperability Operations and Partnerships
Chris McIntyre
Sr. Program Manager, RQNC Operations
Recent News
2024-04-07
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