Vacancy published date: 5^th August 2023

Last date for accepting application:  8^th August 2023

Job Requirements:

• BHMS/BAMS/BPT/MBBS/BDS with clinical or US Healthcare experience
• CPC Certified/ Non CPC Certified (Course completion is mandatory)
• Good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles

Job Descriptions:

·        ·         Coordinates with US Research Medical Directors to manage the integrity of the Payment Policy Library and ensure the Payment Policy Library is accurate and up-to-date.

·        Supports the scheduled review process for State Medicaid policies in collaboration with the US Client Medical Directors and/or Client Policy Managers.

·        Responds to the research related queries pertaining to the medical policy raised by internal personnel or client including but not limited to:

                     i.        Questions about claims edits that enforce medical policy.

                    ii.        Interpretation of how claims edits relate to policy statements.

                  iii.        Recommendations regarding modifications of edits.

·        Supports quarterly and annual updates in collaboration with the US Research Medical Directors.

·        Supports the scheduled review process for global and specialty policies in collaboration with the US Research Medical Directors.

·        Works diligently to meet and exceed productivity and quality benchmarks

·        Takes charge of ongoing learning and development and participates in relevant training and development activities

·        Collaborates well with global research team members to advance the Research agenda.

·        Supports other departments and client teams within Cotiviti on assigned project work.

·        Supports other Research related activities as assigned

Salary:  5 LPA

Job Type: Full Time

                  Day Shifts

                  Work from Office

Number of Vacancies: 20

Process: Clinical Content Analyst

Ability to commute/relocate: Coimbatore. Reliably commute or planning to relocate before starting work.

Service level agreement of 3 years

Interview Mode: Face to Face

Selection process: 

1.   Screening Test

2.   HR Round

3.   Technical Round

Read and understand the criteria; if you meet the prerequisites and are yes to the terms and conditions. Please register for the post published.