Overview:

The Operations Administrator (RQNC) will be responsible for supporting the Abstraction Operations and Risk Adjustment Coding lines of business to ensure that all processes are adhered to, and role-based metrics are met or exceeded. All documentation should be created and/or maintained with high attention to quality and detail.

Responsibilities:

Maintains team roster(s) and supports seasonal team onboarding/offboarding.
Collects and distributes quality and/or productivity reports to team and management.
Supports training documentation creation and/or formatting.
Support tracking of medical records corrections (Image Issues).
Supports tracking, monitoring, and updating of team communication.
Supports tracking and organizing client and team reported issues (via survey, issue reporting, Teams, etc.).
Escalates matters to the manager, trainer, or team lead as appropriate.
Tracks and maintains annual NCQA PCS (Policy Clarification Support) updates.
Complete all responsibilities as outlined in the annual performance review and/or goal setting.
Complete all special projects and other duties as assigned.
Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Qualifications:

Minimum of 2 years of Healthcare Systems and/or Operations experience.
Strong organizational skills.
Strict attention to detail in actions and documentation.
Proficient with Microsoft Office Suite (Teams, Word, Excel, Power Point and SharePoint).
Preferred experience is a minimum of 3 years in Healthcare Systems and/or Operations with professional certifications (i.e. CAP (Certified Admin. Professional or PACE (Professional Admin. Certificate of Excellence), etc.) or college degree.
Prefer minimum 1 year experience with medical terminology/clinical chart review or health information certification.
Will strongly consider administrator experience of 4 or more years in lieu or any degree or professional certification(s).

Mental Requirements:

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.
Highly skilled at handling multiple tasks simultaneously, prioritizing and meeting deadlines.
Ability to maintain strict confidentiality in all communications involving sensitive information.

Physical Requirements and Working Conditions:

Must be able to sit and use a computer keyboard for extended periods of time.
Repeating motions that may include the wrists, hands and/or fingers.
Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
Must be able to provide a dedicated, secure work area.

Base compensation ranges from $17.80 Hr. to $25.00 Hr. 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.

Date of posting: 7/03/2024

Applications are assessed on a rolling basis. We anticipate that the application window will close on 9/03/2024, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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Cotiviti jobs

Operations Administrator (RQNC)