Hiring: Content Analyst II (Medicaid) Company: Cotiviti Location: United States Job Posted Time: 2026-09-11 13:44:37 Target Skills & Keywords : CPT, Medicaid, Microsoft Office, Quality Assurance About the job Experience: •5 years of experience in a clinical setting as a nurse, pharmacist, or physician OR minimum of 6 years of clinical coding experience, preferably in a payer setting. •3 years of experience in internet-based research as it relates to codes (CPT, HCPCS, ICD, or NDC). Required Skills: •Provide coding and industry expertise to help create and maintain clinical coding edits. •Lead and oversee writing business logic for new rules and enhancements by translating industry references into Cotiviti policy. •Reviews and identifies changes to medical policies in order to maintain an accurate and current medical policy library. •Interface directly with the client teams to provide coding and clinical expertise for customer and provider inquiries, questions, challenges, or appeals to clinical rules. •Assumes full ownership and accountability for assigned medical policies. •Performs multi-faceted analytics for data and report analysis with minimal direction. •Mentor and train new staff. •Performs QA of policy reviews, logic revisions, and research requests performed by others to ensure accuracy. Qualifications: •Active professional license as a Registered Nurse (BSN preferred). •Bachelor’s degree (healthcare-related field preferred). •Offshore Medical Degrees (MBBS or higher). •Professional certification (RHIA, RHIT, CPC, CPC-H, CPC-P, or CCS-P) preferred or willing to pass certification exam within one year of employment. •Minimum of 5 years of experience in a clinical setting as a nurse, pharmacist, or physician OR minimum of 6 years of clinical coding experience, preferably in a payer setting. •Minimum of 3 years of experience in internet-based research as it relates to codes (CPT, HCPCS, ICD, or NDC). •Knowledge of Medicaid guidelines highly preferred. •Operational familiarity with claims payment and reimbursement methodologies as well as medical policy rules and edits. •Demonstrated capacity to analyze complex data and synthesize it for customer and internal consumption. •Demonstrated capacity to work well both independently and collaboratively, in a fast-paced and demanding environment. Compensation: •$75,000 - $103,000 / year •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!