[Remote] Associate Auditor Clinical Validation DRG

Note: The job is a remote job and is open to candidates in USA. Cotiviti is a healthcare auditing company seeking an Associate Auditor for Clinical Validation in DRG. The role involves auditing inpatient claims, ensuring coding accuracy, and performing clinical chart validation while using proprietary auditing tools.ResponsibilitiesAnalyzes and Audits ClaimsEffectively Utilizes Audit ToolsMeets or Exceeds Standards/Guidelines for ProductivityMeets or Exceed Standards/Guidelines for Accuracy and QualityIdentifies New Claim TypesComplete all responsibilities as outlined in the annual performance review and/or goal settingComplete all special projects and other duties as assignedMust be able to perform duties with or without reasonable accommodationSkillsAssociate or bachelor's degree in nursing (active /unrestricted license)Associate or bachelor's degree Health Information Management (RHIA or RHIT)Licensed Practical Nurse (LPN) (active /unrestricted license)RHIA or RHIT certificationCPC or COC certificationInpatient Coding Credential – CCS, CIC, CDIP or CCDS2 years of prior clinical and/or coding experienceBasic to Intermediate knowledge of medical and coding terminologyWorking knowledge of medical claims billing/payment systems and provider billing guidelinesRequires working knowledge of and applicable industry-based standardsProficiency in Word, Access, Excel, TEAMS, and other applicationsExcellent written and verbal communication skills2 years of prior clinical and/or coding experience is preferredWorking knowledge of medical claims billing/payment systems and provider billing guidelines is preferredBenefitsMedicalDentalVisionDisabilityLife insurance coverage401(k) savings plansPaid family leave9 paid holidays per year17-27 days of Paid Time Off (PTO) per yearCompany OverviewCotiviti 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 SponsorshipCotiviti has a track record of offering H1B sponsorships, with 23 in 2026, 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.