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Policy Integration Coordinator I

Company

Cotiviti
Address , Remote
Employment type FULL_TIME
Salary $27.40 - $31.30 an hour
Expires 2023-10-08
Posted at 8 months ago
Job Description
Overview:
The Policy Integration Coordinator I position holds the primary responsibility for ensuring that each client’s initially chosen policy set & tables have been configured accurately based on the client’s decisions. Manages lower complexity projects. This includes copy of existing payer data, E&M over code, and payer termination projects. Also loads table mappings for Clinical Chart Validation projects. The Policy Integration Coordinator I provides technical support related to payment policies to the Implementation MD, Implementation Service Director (ISD), and the client. Provides additional support to the Policy Integration II and III as needed.

This area of our business allows a lot of opportunity for advancement and the Medical Policy team will be considering candidates that are looking to start their career in the corporate healthcare space and is a recent college graduate OR candidates that have been working in healthcare claims, medical policy, or other similar experience.
Responsibilities:
  • Attends Policy Committee meetings and facilitate debriefing on client decisions.
  • Manages project timeline effectively to meet monthly deadlines and notifies the appropriate individual(s) of risks to the timeline.
  • Communicates effectively to internal teams and clients.
  • Provides support to Medical Directors and Implementation Team during client implementation regarding policy configuration issues. This includes research and issue management.
  • Pulls presentation, capturing policy-related decisions, specifying their configuration, and ensuring that the policies are set up according to client specification.
  • Reviews initial testing and production files to determine if policies are functioning as expected to identify any potential issues.
Qualifications:
Education Requirements
  • Bachelors Degree or equivalent work experience preferred
Preferred Experience:
  • Health plan operations experience working with medical policies, edits, or claims.
Skills, Experience or Other Requirements
  • Professional with ability to properly handle confidential information
  • Excellent verbal and written communication skills, projection of confidence, track record of getting things done through others (even those for whom there is no authority)
  • Ability to work well independently and in a team environment.
  • Proficient with Microsoft Office Suite (Excel, Outlook, Power Point, Word)
  • Must have ability to positively handle/manage stress, such as high work volume and frequent change
  • High standards with extreme attention to detail, and facilitation skills to ensure clear decisions
  • Ability to handle multiple tasks, prioritize and meet deadlines.
  • Ability to work within a matrix organization
  • Knowledge of CPT, ICD, HCPCS coding and basic medical terminology
  • Works well under pressure and handles conflict well
Base compensation ranges from $27.40 to $31.30. 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.

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