Auditor Technical Trainer (Outpatient / Specialty Audits)

Clinical Chart Validation Team Training Role

This role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing, and delivering technical training, mentoring, and assessment. The individual will work collaboratively with subject matter experts in the Commercial & Government Audit Teams, Quality Assurance, Concept Development, and others to validate workflows and communication tools to enhance audit productivity, performance, and client satisfaction.

Responsibilities

Training, Development, and Mentoring

• Assess job-specific needs and develop technical training plans with clear business objectives, including working with subject matter experts, developing training materials, and developing appropriate assessments and measurements of success.
• Select training / instructional methods and procedures appropriate for the situation when learning or teaching new skills.
• Deliver specific training sessions, including using suitable delivery methods such as classroom, online, and webinar. Identify the development needs of others and coach, mentor, or otherwise assist others with improving their knowledge skills.
• Provide support to the CCV audit team members; assist with orientation of new members as needed, mentor new team members after orientation.
• Promote audit accuracy measures by training / educating and mentoring the auditor and providing documented and validated findings.
• Encourage critical thinking and discussion among team members on concepts as needed.
• Provide training on one or more of the following audit types : Outpatient and Specialty Review Types to include SNF, IRF, and HH.
• Train Clinicians with coding certifications on coding principles.
• Confer with management and conduct surveys to identify training needs based on projected production processes, changes, and other factors.
• Participate in weekly / monthly team meetings to share best practices initiatives and recommend audit vulnerabilities.
• Support the Medical Director to ensure accurate assessments of improper payments are based on consistent application of clinical guidelines.

Assess Customer / Provider / Stakeholder Issues, Complaints, and Compliments

Quality Assurance Controls

New Concepts and Processes

Meets or Exceeds Standards / Guidelines for Productivity

Qualifications

Mental Requirements :

Physical Requirements and Working Conditions :

Base compensation ranges from $105,000 to $125,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 1727 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.