Cotiviti · 2 days ago
Team Lead Coder Coding Validation
United States
Full-time
Remote
Mid, Senior Level
$90K/yr - $96K/yr
3+ years expCotiviti is a company focused on healthcare analytics, and they are seeking a Team Lead Coder for Coding Validation. This role involves supervising a team of Coding Validation analysts, ensuring productivity and quality standards are met, and managing various operational aspects to optimize team performance.
Information Technology & Services
Responsibilities
Oversee onshore/offshore Coder Coding Validation team(s) in reviewing claims and producing well written appeals consistent with high level of integrity and meeting metrics
Provides support needed to review quality claims and appeal, utilizing nationally recognized coding standards, and proprietary coding validation guidelines and client specific guidelines (for specified teams)
Primarily responsible for optimization of the team and individual coder performance, including production, accuracy and quality
Responsible for handling the production training, development and process improvements in working in conjunction with the team
Work with Quality Assurance to ensure analysts or coders are meeting quality execution of CV audit deliverables
Handles employee reviews, new hire on- boarding, PTO, coaching and mentoring, monitors staff productivity
Serves as a resource for the analyst or coders in terms of questions related to specific claims and clinical industry standards
Creates an environment that fosters information sharing
Collaborate with Manager and Human Resources in applying best practices to areas of Employee Relations and performance management
Ensures all Cotiviti and department rules and processes are followed
Actively recommend system or process improvements or enhancements that will increase productivity, quality or cost containment
Ensure operational controls and day-to-day processes are in place
Distributes work among analysts or coders - ensuring timely submission and responding to all client requirements/inquiries swiftly and professionally
Utilizes various proprietary reports and systems provided
Ensure teams are meeting KPI metric expectations including client SLAs and quality standards
Ensure team timecards are reviewed and corrected as needed
Ensures alignment between strategic goal setting process and performance management process to ensure the organization has the depth and breadth of talent to achieve organizational goals
Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that can assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction
Complete all responsibilities as outlined in the annual performance review and/or goal setting
Complete all special projects and other duties as assigned
Must be able to perform duties with or without reasonable accommodation
Qualification
Required
Coding certificate required i.e. CCDS, CPC, CIC, CCS, RHIA or RHIT
3 to 5+ years of knowledge of healthcare claims payment policy and processing including Professional, Multispecialty and specifically CMS, Medicaid regulations, AAOS, ICD-10, CPT and HCPCS, etc. coding guidelines
Proficient in Microsoft Office suite and system databases
Ability to adapt to a changing workplace. Able to work in a fast-paced environment and must be adaptable with analytical and problem-solving skills
Excellent written and verbal communication skills. An ability to think logically and process sequentially with a high level of detailed accuracy and efficiency
Self-motivated to exceed the customer's goal of service while leading a successful team
Preferred
Bachelor's degree in nursing or other health or informatics field preferred
Prior management or supervisory experience preferred
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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