[Hiring] Coder I @Cotiviti

Role Description

The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk‑adjustment programs across a variety of chart types. This role applies ICD‑10‑CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client‑specific requirements to ensure high‑quality coding outcomes. The Coder I utilizes established dispute‑resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities.

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions.

See what it's like to work as a Coder at Cotiviti: Watch here

Qualifications

• Minimum High School Diploma.
• Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).
• 1-2 years’ experience in medical risk adjustment / HCC coding.
• Experience in HCC record abstraction and coding requirements.
• Demonstrated high level of quality accuracy and productivity in clinical coding work.
• Maintains professional credential in good standing as required by AAPC and/or AHIMA.
• Strong knowledge of medical terminology and anatomy and physiology.
• Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy.
• Skills in organization and time management.
• Ability to read and understand medical record documentation for diagnosis extraction.
• Comfortable with computers and technology.
• Must abide by all HIPAA and associated patient confidentiality requirements.
• Required hours for training: Monday-Friday 8 AM – 5 PM ET.
• Required working hours: 40 hours per week, Monday-Friday 8-hour days; daytime schedule based on your time zone. This role is not intended to work nights, weekends or part-time.

Requirements

• Excellent written and communication skills with the ability to understand and explain complex information.
• Ability to regularly and consistently achieve over 95% quality accuracy.
• Ability to appropriately communicate with management regarding workload, production expectations and deliverables.
• Quick learner with positive attitude.
• Must be able to work in a fast-paced environment.
• Ability to manage and meet deadlines.
• Adaptability to changing priorities, flexible and open to new ideas.

Physical Requirements and Working Conditions

• Must participate in all required training.
• 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.
• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.

Benefits

• Base compensation ranges from $23.00 to $26.50 per hour.
• This role is eligible for discretionary bonus consideration.
• 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 a competitive benefits package 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.