Cotiviti is a leading provider of payment accuracy and analytics solutions for healthcare organizations. With a focus on driving value for clients, Cotiviti leverages technology and clinical expertise to improve healthcare outcomes. Known for its commitment to excellence, the company fosters innovation and offers robust learning opportunities.

Job Responsibilities

As a Clinical Content Analyst, you will:

• Manage and maintain the Payment Policy Library to ensure accuracy and relevance.
• Collaborate with US Research Medical Directors and Client Medical Directors on medical policy decisions.
• Support the scheduled review process for state Medicaid and global policies.
• Respond to internal and client queries related to medical policy and claims edits.
• Assist in updating policies quarterly and annually.
• Participate in training and development to stay updated with industry trends.
• Work on research-related projects as assigned, contributing to the organization’s objectives.

Qualifications

To qualify for this role, candidates must have:

• A medical degree (MBBS, BAMS, BHMS; a Diploma in Specialties or MD is preferred).
• Cleared major exams (SSC, HSC, and qualifying degrees) in the first attempt.
• Strong knowledge or experience in US healthcare billing, coding, and plan operations.
• Familiarity with ICD-10 coding (preferred).
• Clinical experience in hospitals, offices, or nursing homes is a plus.

Skills Required

• Strong analytical and problem-solving abilities.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Excel.
• Organizational skills with the ability to manage changing priorities.
• Adaptability to work with remote teams across geographies.
• Willingness to work in different shifts, including night shifts.

How to Apply

• Walk-In Interview Date: 1st February
• Time: 10:00 AM – 2:00 PM
• Venue:
  Podium Floor, Plot C Binarius Building,
  190/192 Plot C, Deepak Complex,
  National Games Road Off Golf Course,
  Yerawada, Pune, Maharashtra 411006

Prepare Your Application:

• Bring updated resume.
• Highlight relevant skills and experience in US healthcare billing and coding.
• Be ready for aptitude and English assessment tests.

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