About The Position

The intern will assist with a Principal Diagnosis AI Audit project. We're looking for a student intern, in a HIM related degree program, who has already completed a medical coding course (preferably inpatient coding). You will be using that coding knowledge to review AI related decisions, from a test environment, and identify missed coding/auditing opportunities. This work will support innovation across the Clinical Chart Validation Team’s audit selection pipeline. This will be a strong learning opportunity to gain hands-on experience in audit analytics, opportunity assessment, and cross‑functional collaboration while supporting real-world healthcare innovation initiatives.

Requirements

  • Enrolled in higher education BS or MS program with clinical or health information management focus
  • Successful completion of an ICD-10 and PCS coding course is required (coding certification preferred i.e., RHIA, RHIT, CCP, CCS)
  • Basic to Intermediate knowledge of medical and coding terminology is required.
  • Proficiency in Word, Access, Excel, TEAMS, and other applications.
  • Excellent written and verbal communication skills.
  • Self-motivated and self-organizing worker and learner.
  • Strong communication and interpersonal skills.

Responsibilities

  • Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. This review may include medical record review and/or episode of care reviews. Performs work independently.
  • Effectively Utilizes Audit Tools. Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit determinations.
  • Meets or Exceeds Standards/Guidelines for Productivity. Maintains production goals set by the audit operations management team.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.
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