Coding Validation Coder I

Cotiviti • Remote,

6d • $25 - $30 • Remote

About The Position

Cotiviti is hiring full-time coders for remote claims audits of provider appeals, checking for completeness and accuracy according to coding guidelines. The position is available anywhere in the continental United States and follows a traditional daytime schedule. The hire date is January 18, 2027. Training runs Monday through Friday from 9 a.m. to 5 p.m. Eastern Time for about 30 days, with 100% attendance required. Experience with evaluation and management (E&M) coding and auditing is preferred.

The coder conducts daily clinical validation audits of provider appeals and uses Cotiviti applications, training tools, and the CV library to process appeals and meet production and accuracy standards. The role requires staying current with applicable coding guidelines, applying client-specific guidance, reviewing quality feedback, seeking clarification, and using the QA Resolution process when determinations are disputed. The coder also communicates with Cotiviti colleagues and the Team Lead, may teach or mentor on appeal categories when requested, and completes assigned performance-plan responsibilities and other duties or projects.

The role requires a dedicated, secure work area, high-speed internet, and an appropriate office setup. Base compensation is $25.00–$30.00 per hour, with discretionary bonus consideration. Non-exempt employees are eligible for overtime pay for hours exceeding 40 in a week, or as required by state law.

Requirements

• High school diploma or GED.
• National medical coder certification from AAPC or AHIMA, such as CPC or CCS.
• At least 1–2 years of medical coding experience.
• CPC coding experience.
• Adherence to official coding guidelines, Coding Clinic determinations, CMS requirements, client-specific guidelines, and other regulatory compliance guidelines and mandates.
• Excellent written, verbal, and interpersonal communication skills.
• Strong knowledge of medical terminology, anatomy, and physiology.
• Organization and time-management skills.
• Ability to read and understand medical record documentation for diagnosis extraction.
• Computer and technology literacy.
• Ability to work in a fast-paced, high-pressure production environment and meet deadlines.
• Flexibility to assist with emergent situations or projects.
• Ability to absorb new information quickly, train in a fast-paced environment, and learn, test, and pass off new training concepts daily.
• Ability to make audit decisions efficiently and accurately; think logically and process sequentially with detailed accuracy and efficiency; and assess the accuracy, neatness, and thoroughness of assigned work.
• Ability to perform duties with or without reasonable accommodation.
• Ability to provide a dedicated, secure work area, high-speed internet connectivity, and office setup and maintenance.
• Ability to attend training Monday through Friday from 9 a.m. to 5 p.m. ET for about 30 days with 100% attendance.

Nice To Haves

• Experience with E&M coding and auditing.

Responsibilities

• Perform daily audits of provider appeals for completeness and accuracy under specified coding guidelines to assess reimbursement appropriateness.
• Apply client-specific coding guidelines when applicable.
• Learn new appeal categories as production needs require.
• Stay current on coding guidelines relevant to the position.
• Use Cotiviti applications to process clinical validation appeals while meeting production and accuracy standards.
• Review quality feedback from Quality Assurance.
• Submit questions for clarification as needed.
• Use the QA Resolution process when disagreements arise about clinical validation appeal determinations.
• Interact with Cotiviti staff, including training and quality assurance, to clarify or provide training on coding results.
• Communicate findings, errors, and suggestions professionally to the Team Lead to support ongoing communication and efficient operations.
• Use Cotiviti training tools and the CV library to answer questions.
• Provide teaching, mentoring, or oversight on appeal categories when requested.
• Complete responsibilities in the annual Performance Plan and assigned special projects and other duties.
• Participate in required training and comply with HIPAA and patient confidentiality requirements.

Benefits

• Medical, dental, vision, disability, and life insurance coverage.
• 401(k) savings plan.
• Paid family leave.
• Nine paid holidays per year.
• 17–27 days of paid time off per year, depending on level and length of service.
• Eligible for discretionary bonus consideration.
• Overtime pay for non-exempt hours worked over 40 in a week, or as required by applicable state law.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED