Concept Development Analyst (Automated Concepts)
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Key Responsibilities:
- Support AI and analytics teams by providing clinical, coding, and reimbursement guidance.
- Partner with data science to validate AI-enabled outputs for clinical accuracy and coding integrity.
- Analyze performance trends, false positives, and edge cases to refine selection logic.
Qualifications:
- Minimum 5 years of experience in data analytics, medical billing, or auditing.
- Proficiency in healthcare coding systems (CPT, HCPCS, ICD-10) and payment methodologies.
- Strong analytical skills with Excel proficiency and experience with AI-enabled tools.
Benefits and Culture:
- Competitive compensation and comprehensive benefits package including medical, dental, vision, and 401(k).
- Generous PTO, paid holidays, and paid family leave to support work-life balance.
- Remote-first culture with focus on collaboration and innovation.
Cotiviti
Cotiviti is a healthcare payment integrity company that leverages data and AI to improve claim accuracy and compliance. They are a large organization with a collaborative culture focused on innovation and operational excellence.