Job Description
Note: The job is a remote job and is open to candidates in USA. Cotiviti is a company focused on healthcare analytics and solutions, and they are seeking a Dental Analyst I to perform daily reviews and audits on client data. The role involves ensuring accuracy of coding and providing recommendations on clinical claims while adhering to structured guidelines.
- Responsibilities
- Perform daily audits on client data for completeness and accuracy of coding utilizing coding background to ensure appropriateness for reimbursement. When providing recommendations on clinical claims to the client: Does not interpret or evaluate clinical information but performs duties according to structured algorithms or other written guidelines. Licensed personnel provide oversight and follow-up for clinical related questions or issues such as the use of the algorithms or structured guidelines
- Respond to provider appeals of non-clinical issues
- Respond to client logics and record reviews of non-clinical issues
- Assess and respond to client/provider educational needs
- Monitor acceptance rates for assigned clients and assist management in proactively detecting negative deviations
- Contribute to the team by providing feedback to the Management and Development team on changes to enhance the editing and efficiency as well as passing on client feedback. Participates on the Quality Committee as required
- Completes all responsibilities as outlined on annual Performance Plan
- Must be able to perform duties with or without reasonable accommodation
- Skills
- High School Diploma, GED or equivalent work experience
- Minimum of 3 years work experience in a clinical role in the dental office, as a Dental Assistant or Dental Hygienist
- Has general knowledge of dental procedures, conditions, and treatment practices
- Has excellent written and verbal communication skills
- Has the ability to think logically and process sequentially with a high level of detailed accuracy
- Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc
- Has the ability to conduct training to both internal staff and clients in an efficient and effective manner
- Dental coding certificate preferred - Have this credential or ability to sit for it
- 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 Overview
- 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. It was founded in 1979, and is headquartered in South Jordan, UT, US, with a workforce of 5001-10000 employees. Its website is http://www.cotiviti.com.
- Company H1B Sponsorship
- Cotiviti has a track record of offering H1B sponsorships, with 165 in 2025, 118 in 2024, 90 in 2023, 102 in 2022, 72 in 2021, 67 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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