[Remote] Content Analyst II

Note: The job is a remote job and is open to candidates in USA. Cotiviti is a company focused on clinical operations and content management, and they are seeking a Content Analyst II to join their team. This role involves researching and analyzing medical policies, providing coding expertise, and ensuring the accuracy of the policy library.ResponsibilitiesProvide coding and industry expertise to help create and maintain clinical coding editsResponsible for writing business logic for new rules and enhancements by translating industry references into Cotiviti policyReviews and identifies changes to medical policies in order to maintain an accurate and current medical policy libraryWork with the client teams to provide coding and clinical expertise for customer and provider inquiries, questions, challenges, or appeals to clinical rulesAssumes full ownership and accountability for assigned medical policiesPerforms multi-faceted analytics for data and report analysis with minimal directionMentor and train new staffPerforms QA of policy reviews, logic revisions, and research requests performed by others to ensure accuracyMaintains current knowledge-base of industry and Cotiviti content, best practices, applications, procedures, and policiesSkillsOne of the following degrees is required: Active professional license as a Registered Nurse (BSN preferred), Pharmacist (BSPharm or PharmD), Bachelor's degree (healthcare-related field preferred), Offshore Medical Degrees (MBBS or higher)Minimum of 5 years of experience in a clinical setting as a nurse, pharmacist, or physician OR minimum of 6 years of clinical coding experience, preferably in a payer settingMinimum of 3 years of experience in internet-based research as it relates to codes (CPT, HCPCS, ICD, or NDC)Familiarity with claims payment and reimbursement methodologies as well as medical policy rules and editsAbility to analyze complex data and synthesize it for customer and internal consumptionAbility to work well both independently and collaboratively, in a fast-paced and demanding environmentEffective at managing timelines and multiple projects with high accuracy and attention to detailStrong analytical, critical thinking, and problem-solving skillsProficiency in Microsoft Office suiteExcellent interpersonal, verbal, and written communication skillsProfessional certification (RHIA, RHIT, CPC, CPC-H, CPC-P, or CCS-P) preferred or willing to pass certification exam within one year of employmentBenefitsMedical, dental, vision, disability, and life insurance coverage401(K) savings plansPaid family leave9 paid holidays per year17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with CotivitiCompany 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.