US-Remote
Overview
Cotiviti is looking to add a Dental Analyst to our team. As a Dental Analyst you will perform daily audits on client data for completeness and accuracy of coding utilizing coding background to ensure appropriateness for reimbursement. The ideal candidate will have a background in dental coding/billing and have a comfort level on reviewing dental claims for completeness and alignment to coding & clinical guidelines. Having hands-on experience with dental procedures such as taking/reading x-rays, periodontal charting, assisting with dental procedures being performed is highly desired. This is a full-time position and can be done from home in the continental US.
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.
Qualifications
- High School Diploma, GED or equivalent work experience.
- Dental coding certificate preferred.
- Minimum of 3 years work experience in a dental office required (general dentist or oral surgeon).
- 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.
Mental Requirements:
- Communicating with others to exchange information.
- Assessing the accuracy, neatness, and thoroughness of the work assigned.
Physical Requirements and Working Conditions:
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Repeating motions that may include the wrists, hands, and/or fingers.
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
- No adverse environmental conditions are expected.
Base compensation ranges from $18.00 to $22.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.
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.
Applications are assessed on a rolling basis. We anticipate that the application window will close on 4/6/2025, 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 is an equal employment opportunity employer. Cotiviti recruits, hires and promotes individuals based on their qualifications for a specific job. Cotiviti values its diverse workforce and its selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy, childbirth or pregnancy-related conditions, national origin, sexual orientation, gender identity, marital status, genetic carrier status, military service, veteran status, disability, or any other category of class protected by federal, state or local laws. All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity.
Pay Transparency Nondiscrimination Provision
Cotiviti will not discharge or in any manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-I.35(c)
