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Senior Appeals Auditor — Remote, DRG/CCV Claims Expert
Job Description & How to Apply Below
Cotiviti’s Senior Auditor, Appeals position sits on the Clinical Chart Validation (CCV) team, defending recovery determinations using CMS inpatient/outpatient guidelines, coding clinics, and internal validation policies. The auditor reviews the initial claim and provider submissions on appeal to render a written, precise decision for each case.
The role demands ICD-9/10CM/DRG knowledge, strong communication, and the ability to work independently or with QA support, while meeting SLAs in a remote
#J-18808-LjbffrPosition Requirements
10+ Years
work experience
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