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CotivitiCO

Intern - Associate Auditor Medical Coding Validation

Cotiviti is a solutions and analytics company that leverages clinical and financial datasets to provide insights into the performance of the healthcare system, focusing on payment accuracy, risk adjustment, quality improvement, and consumer engagement. It also serves the retail industry with data management and recovery audit services.

Cotiviti

Employee count: 5000+

United States only

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Overview

The intern will assist with a Principal Diagnosis AI Audit project. We're looking for a student intern, in a HIM related degree program, who has already completed a medical coding course (preferably inpatient coding). You will be using that coding knowledge to review AI related decisions, from a test environment, and identify missed coding/auditing opportunities. This work will support innovation across the Clinical Chart Validation Team’s audit selection pipeline. This will be a strong learning opportunity to gain hands-on experience in audit analytics, opportunity assessment, and cross‑functional collaboration while supporting real-world healthcare innovation initiatives.

Responsibilities

  • Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. This review may include medical record review and/or episode of care reviews. Performs work independently.
  • Effectively Utilizes Audit Tools. Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit determinations.
  • Meets or Exceeds Standards/Guidelines for Productivity. Maintains production goals set by the audit operations management team.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

Qualifications

  • Enrolled in higher education BS or MS program with clinical or health information management focus
  • Successful completion of an ICD-10 and PCS coding course is required (coding certification preferred i.e., RHIA, RHIT, CPC, CCS)
  • Basic to Intermediate knowledge of medical and coding terminology is required.
  • Proficiency in Word, Access, Excel, TEAMS, and other applications.
  • Excellent written and verbal communication skills.
  • Self-motivated and self-organizing worker and learner.
  • Strong communication and interpersonal skills.

Base compensation ranges from $21.00 to $23.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

Since this job will be based remotely, all interviews will be conducted virtually.

Date of posting: 4/15/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 5/15/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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About Cotiviti

Learn more about Cotiviti and their company culture.

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Through groundbreaking technology and profound data analytics, Cotiviti is revolutionizing the economics of healthcare. The company is at the forefront of enabling healthcare organizations to deliver enhanced care at a reduced cost, thereby ensuring the quality and sustainability of the healthcare system in the United States. Cotiviti's innovative solutions are a critical foundation for healthcare payers, empowering them in their mission to lower healthcare expenditures and elevate quality through higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. By processing and analyzing billions of clinical and financial data points, Cotiviti uncovers opportunities for clients to boost efficiency and quality, ultimately leading to better care for their members. The company's commitment to responsible AI implementation is evident in its partnership with the Responsible AI Institute, aiming to develop new ways to leverage artificial intelligence to foster a high-quality and viable healthcare system. This focus on accelerating the development of innovative healthcare technologies drives advancements in data analytics, interoperability, and value-based care solutions.

Cotiviti's expertise extends to serving the retail industry with sophisticated data management and recovery audit services designed to improve business outcomes. The company's approach is rooted in a combination of advanced technology, comprehensive data analytics, and specialized expertise. This synergy allows Cotiviti to provide solutions that address payment accuracy, quality improvement, risk adjustment, and network performance management. Cotiviti's dedication to innovation is further highlighted by its recent technological advancements, such as 360 Pattern Review, which utilizes artificial intelligence to rapidly identify potential healthcare fraud, waste, and abuse, and Zero Hour Alerts, which empowers large retailers to prevent payment errors. With a global team of over 9,000 employees, Cotiviti fosters a collaborative environment where specialized and talented teams work in tandem to ensure operational efficiency and deliver services that exceed industry standards. The company's vision is to enable a high-quality and viable healthcare system, and its mission is to improve this system through its unique blend of technology, analytics, and expertise.

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