Policy Integration Coordinator I

Cotiviti•Remote,

2d•$26 - $33•Remote

About The Position

The Policy Integration Coordinator I position holds the primary responsibility for ensuring that each client’s initially chosen policy set & tables have been configured accurately based on the client’s decisions. Manages lower complexity projects. This includes copy of existing payer data, E&M over code, and payer termination projects. Also loads table mappings for Clinical Chart Validation projects. The Policy Integration Coordinator I provides technical support related to payment policies to the Implementation MD, Implementation Service Director (ISD), and the client. Provides additional support to the Policy Integration Coordinator II and III as needed.

Requirements

Bachelor’s degree preferred or 1 year equivalent work experience.
High standards with extreme attention to detail, and facilitation skills to ensure clear decisions.
Works well under pressure and handles conflict well.
Ability to work well independently and in a team environment.
Ability to work within a matrix organization.
Knowledge of CPT, ICD, HCPCS coding and basic medical terminology.
Excellent verbal and written communication skills, projection of confidence, track record of getting things done through others (even those for whom there is no authority).
Proficient with Microsoft Office Suite (Excel, Outlook, Power Point, Word).
Professional with ability to properly handle confidential information.
Ability to handle multiple tasks, prioritize and meet deadlines.
Must have ability to positively handle/manage stress, such as high work volume and frequent change.
Communicating with others to exchange information.
Assessing the accuracy, neatness, and thoroughness of the work assigned.

Responsibilities

Pulls presentation, capturing policy-related decisions, specifying their configuration, and ensuring that the policies are set up according to client specification.
Provides support to Medical Directors and Implementation Team during client implementation regarding policy configuration issues. This includes research and issue management.
Reviews initial testing and production files to determine if policies are functioning as expected to identify any potential issues.
Communicates effectively to internal teams and clients.
Manages project timeline effectively to meet monthly deadlines and notifies the appropriate individual(s) of risks to the timeline.
Attends Policy Committee meetings and facilitate debriefing on client decisions.
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.