Provide leadership to the team by communicating all expectations and ensuring alignment with Cotiviti’s long-term objectives
Motivate employees through individual, team, and department recognition
Recruit and hire new staff, manage existing staff, and develop and implement training and orientation programs
Ensure goals and standards are consistently met, removing roadblocks to exceptional performance
Monitor team coverage of responsibilities and ensure accountability.
Lead all efforts with new products, collaborating with Product Managers to ensure success
Optimize business tools to support innovation and optimize coding-based content
Foster an environment of innovation and document standard operating procedures

Bachelor’s degree in Nursing, Health Information Management (HIM), or a related field required
State licensure or AHIMA/AAPC coding certification (CPC, CPC-H, or CCS) required
A minimum of 8 years of related experience in healthcare, with proven expertise in Hospital, Home Health, Hospice, DME, SNF, or Physician Billing
Minimum of 3 years of medical record auditing experience, preferably at Cotiviti or a similar payment integrity company
Previous management experience required
Proficient in Microsoft Word, Excel (including Pivot tables), Access, and Outlook
Advanced proficiency with healthcare coding systems (CPT4, HCPCS, DRG, ICD-9, ICD-10, Modifiers, Revenue Codes, etc.)
Familiarity with Medicare reimbursement methodologies, billing guidelines, and claim adjudication standards
Exceptional written and verbal communication skills with the ability to mentor and teach.
Strong leadership and team-building abilities, with a focus on fostering a culture of collaboration and high performance.

medical, dental, vision, disability, and life insurance coverage
401(k) savings plans
paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service

Manager, Audit Content

Key skills