Research Analyst at Cotiviti Hyderabad Andhra Pradesh

Research Analyst at Cotiviti Hyderabad Andhra Pradesh

Principle Purpose of Job
We are currently seeking a Research Analyst to support a growing client base while combining their clinical and/or coding expertise with payment policy, The Research Lead is a key member of the internal Research team, as well a contributor to the client team, and works closely with the Research Medical Directors on Medical Policy decisions. The Research Lead is responsible for interpreting and assessing payment policy and medical coding information/guidelines against our policy library to support maintenance of existing policy and development of new policy. The Research Lead also assists in providing consultations to the client teams regarding payment policy and medical coding.

Job Responsibilities

• Supports Research Medical Directors to provide oversight for the accuracy and quality of research materials originated from Medical Policy and Client Services
• Supports the scheduled review process for global and specialty policies in collaboration with the Research Medical Directors
• Coordinates with Research Medical Directors to manage the integrity of the Payment Policy Library and ensure the Payment Policy Library is accurate and up-to-date
• Supports quarterly and annual updates in collaboration with the Research medical Directors
• Ensures changes to rule sets are accurate, complete and are finished in a timely manner including documentation of notable changes
• Responds to the research related queries pertaining to the medical policy raised by internal personnel or client including but not limited to:

Relevant Experience & Educational Requirements

• Medical degree (MBBS , BHMS , BAMS , BUMS ) OR Certified medical coder
• Clearance of cognitive aptitude test analytical, quantitative, and logical reasoning skills
• Experience in private sector/ Health plan operations with focus on reimbursement and/or claims processing and/or medical coding preferred
• Corporate experience particularly in business analyst roles highly preferred
• Consulting experience within a healthcare coding and reimbursement company is a definite plus
• Knowledge of ICD-10 coding preferred

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