[Hiring] Coding Validation Coder I @Cotiviti

Role Description

Cotiviti has multiple openings for full-time coders. These roles will focus on claims audits for appeals, checking for completeness & accuracy based on coding guidelines. Experience with E&M coding & auditing is preferred. These are full-time remote positions and can be done anywhere within the continental US and will work a traditional daytime schedule.

The hire date for this position will be 7/20/2026 and you will be expected to attend training Monday-Friday from 9-5 ET. Training will last about 90 days and time off will be limited during this time.

Responsibilities

• Perform daily audits on provider appeals for completeness and accuracy based on specified coding guidelines to ensure appropriateness for reimbursement.
• Apply client specific coding guidelines when applicable.
• Learn new appeal categories as production need requires.
• Stay current on coding guidelines appropriate to the position.
• Use the Cotiviti applications to process CV appeals to meet both production and accuracy standards.
• Review quality feedback from QA.
• Submit questions for clarification as needed.
• Utilize the ‘QA Resolution’ process when disagreement occurs related to a CV Appeals determination.
• Regular interaction with other Cotiviti staff, such as training and quality assurance to facilitate clarification and/or training on coding results.
• Professionally communicate findings, errors, and any suggestions to Team Lead to facilitate ongoing communications and efficient department operations as part of a continuous improvement process.
• Utilize Cotiviti training tools and CV library for questions.
• Provide teaching, mentoring and/or oversight on appeal categories when requested.
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.

Qualifications

• High School Diploma or GED required.
• Nationally certified medical coder as certified by either AAPC or AHIMA (CPC, CCS, etc.).
• At least 1-2 years of medical coding experience.
• Experience in CPC coding required.
• Adherence to official coding guidelines, coding clinic determinations, CMS, Client specific guidelines and other regulatory compliance guidelines and mandates.
• Excellent written and verbal skills to include interpersonal skills.
• Strong knowledge of medical terminology and anatomy and physiology.
• Skills in organization and time management.
• Ability to read and understand medical record documentation for diagnosis extraction.
• Computer and technology literate.
• Must be able to work in a fast-paced environment.
• Ability to manage and meet deadlines.
• Must remain flexible to provide assistance in any emergent situations and/or projects.
• Must participate in any required training.
• Must abide by all HIPAA and associated patient confidentiality requirements.

Requirements

• Ability to absorb new information quickly and train in a fast-paced environment.
• Ability to work in a high-pressure production environment and make audit decisions efficiently and accurately.
• Possesses excellent written and verbal communication skills.
• Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency.
• Assessing the accuracy, neatness and thoroughness of the work assigned.
• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Communicating with others to exchange information.
• Repeating motions that may include the wrists, hands, and/or fingers.
• No adverse environmental conditions expected.
• 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.

Benefits

• Base compensation ranges from $25.00 to $29.00 per hour.
• Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
• This role is eligible for discretionary bonus consideration.
• Non-Exempt 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.