Overview:
The Policy Inquiry Analyst I is responsible for creating a consistent and unified Cotiviti voice for responding to client
inquiries both accurately and in a timely manner.

Responsibilities:

• Ability to handle multiple tasks, prioritize and meet deadlines.
• Attend all required team meetings
• Communicate effectively and timely with the appropriate functional areas to resolve inquiries.
• Excellent written and verbal communication skills.
• Follow established guidelines for turnaround time and quality as defined in the Policy Inquiry Policy and Procedure Manual.
• Research CMS and State websites to validate that the client’s policy is in synch with the Federal and/or State guidelines.
• Analyze the configuration of the client’s custom policy to ensure that it aligns with the client’s intent.
• Identifies and reports any potential incident discovered during policy review.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.
• This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Qualifications:

• Bachelor’s degree or equivalent experience required
• Typically requires 2 years of healthcare experience
• Knowledge of CPT, ICD-10-CM, HCPCS coding, and medical terminology
• Intermediate Experience in Microsoft Office (Excel, Word, PowerPoint),
• Professional with ability to properly handle confidential information
• Ability to work well in a team environment
• Ability to handle multiple tasks, prioritize and meet deadlines
• Excellent written and verbal communication skills
• Ability to learn and quickly apply new material
• Ability to adapt to changing situations with ease
• Team player with strong desire to assist others and share knowledge
• Excellent analytical skills with ability to troubleshoot problems and find root causes
• Ability to think “outside the box”
• Ability to work collaboratively to achieve results
• Self-starter, with strong confidence level
• Strong analytical and problem -solving skills
• Ability to accurately perform responsibilities independently

MENTAL REQUIREMENTS:

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

PHYSICAL REQUIREMENTS AND WORKING CONDITIONS:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
  Base compensation ranges from $22.50 to $26.50. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
  Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
  

  LI-JB1

remote

junio

• Ability to handle multiple tasks, prioritize and meet deadlines.
• Attend all required team meetings
• Communicate effectively and timely with the appropriate functional areas to resolve inquiries.
• Excellent written and verbal communication skills.
• Follow established guidelines for turnaround time and quality as defined in the Policy Inquiry Policy and Procedure Manual.
• Research CMS and State websites to validate that the client’s policy is in synch with the Federal and/or State guidelines.
• Analyze the configuration of the client’s custom policy to ensure that it aligns with the client’s intent.
• Identifies and reports any potential incident discovered during policy review.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.
• This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change