Cotiviti

As Data Engineer at Cotiviti, you will use your technical experience in ETL processes to ensure operational functions. Responsibilities include managing data implementations, data integrations, data production, data quality, and data security by creating, maintaining, and executing Spark & SQL scripts for data management and validation. You will work with teams to troubleshoot and resolve issues, create data pipelines, and ensure data integrity.

This role is responsible for designing a strategic perspective regarding IT architecture and business needs, as well as developing and implementing architecture software strategy. The ideal candidate will have strong software development experience working in an agile environment. The manager will manage internal stakeholders and evaluate staff performance, working with the HIPAA Privacy and Security Officer to ensure security compliance.

This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and Specialty audits, requiring a clinical (nurse) and coding/auditing background in disciplines like SNF, IRF, Home Health, APC, ER, Diagnostics, and Professional Service. You will audit outpatient/specialty claims, focusing on clinical review, coding accuracy, medical necessity, and treatment appropriateness.