Cotiviti is a leadingsolutions and analytics company that is reshaping the economics of healthcare,helping its clients uncover new opportunities to unlock value. Cotiviti’s solutionsare a critical foundation for healthcare payers in their mission to lowerhealthcare costs and improve quality through higher performing paymentaccuracy, quality improvement, risk adjustment, and network performancemanagement programs. The company also supports the retail industry with datamanagement and recovery audit services that improve business outcomes.
The Operations Administrator will be responsible for supporting the Coding & Chart Validation Audit area to ensure that all processes are adhered to, metrics are met or exceeded and documentation is created and maintained with high attention to quality and detail. Specifically for this role we will focus a lot of work on reviewing and prepping outpatient charts.
Microsoft Office Suite
Responsibilities and Duties
Administrative tasksConstruction and organization of large presentationsManagement of corporate memberships
Reporting and Tracking
Coding Department Support TasksSupply partner maintenanceImage reductionImage re-order support
Clinical Validation Support TasksHEDIS administrative tasksClinical Validation administrative tasksClient support
Clinical Validation Support TasksTriage client communicationChart prepWork assignment
Other duties as assigned
Consistent and effective critical thinking skills required.
Strict attention to detail in actions and documentation.
Strong organizational skills (including a commitment to thorough documentation of results).
Strong written and verbal communication skills in person as well as with remote and international resources.
Professional demeanor with ability to use appropriate language, tone, style and structure in oral and written communications.
Positive and helpful demeanor in interactions with all internal/external stakeholders.
Active listening skills.
Highly skilled at handling multiple tasks simultaneously, prioritizing and meeting deadlines.
Ability to maintain strict confidentiality in all communications involving sensitive information and algorithms
Must be driven and a self-starter.
Must be flexible and willing to adapt to an ever-changing environment.
Professional with ability to properly handle confidential information
Ability to work well independently and in a team environment.
Ability to handle multiple tasks, prioritize and meet deadlines.
Ability to work within a matrix organization
Exhibits behaviors consistent with Cotiviti Values.
High School Diploma or equivalent required; Associate’s or Bachelor’s Degree preferred
Healthcare Systems and Operations experience preferred
Works with a sense of urgency; ability to switch gears and change focus
Must possess intermediate skills with MS Excel and be proficient with Microsoft Office Suite (Word, Outlook, Visio, PowerPoint)
Excellent written and verbal communication skills.
This is currently a work at home position, with the option to work at one of our offices once normal social engagement practices resume.
Access to high speed internet is required (all other equipment will be provided).
Must be able to sit and use a computer keyboard for extended periods of time
Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent)
For the safety of our employees and those considering employment with Cotiviti, we are currently conducting all interviews virtually. In addition, the majority of the Cotiviti team is currently working remotely, and we are onboarding new hires remotely as well. As we monitor the pandemic, these arrangements may change and we will update accordingly.
Please note, the start date for this position is scheduled for January 2021.
Required Experience and Qualifications
Experience: 4 - 6 years in Healthcare Systems and Operations( Preferred )
Graduation: Bachelor's Degree( Required )
Proficient in English( Required )
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