Responsible for writing business logic for new rules and enhancements by translating industry references into Cotiviti policy.
Provide input on any new, or complex enhancements to the rule engine developers as well as system architects.
Work within the ART, specifically providing guidance and input to TPO’s/developers during grooming sessions.
Work with Product and the Go to Market teams, to provide coding and clinical expertise for new policy rollout.
Ensure internal Cotiviti operational teams have a clear vision and understanding of the content solutions roadmap to ensure lock step on incoming work.
This position requires maximum guidance from mentors and leadership.
Perform multi-faceted analytics for data and report analysis with minimal direction.
This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.
Qualifications
Specific to the Content Solutions Analyst role focused on Labs
Education & Certification
BS in Nursing.
Pharmacist (BSPharm or PharmD).
Off-shore Medical or Pharmacy degree (MBBS or higher).
Other Bachelors degree (or equivalent work experience) PREFERRED.
AND
Nationally recognized coding credential through AHIMA or AAPC - CCS, CPC, etc. REQUIRED.
Experience
5+ years in coding/billing experience for a large lab that performs genetic testing and other unrelated lab services.
Expert in all aspects of genetics and lab coding, and able to provide education/support to clinical professionals (Genetic Counselors & others).
An additional 3 years research experience related to coding (CPT, HCPCS, ICD, NDC) OR at least 3 years in an internal Cotiviti role (CPM, CSM, Content Analyst, etc.).
5 years previous experience in detailed rule requirement gathering, rule development, and collaborating on software enhancements preferred.
Experience supporting Laboratory payment integrity rule development, including coding research and rule logic application, is preferred.
Strong analytical, critical thinking and problem-solving skills.
Proficiency in Microsoft Office Suite.
Excellent interpersonal, verbal and written communication skills.
Job Demands
Must have flexibility and willingness to participate in the work processes of an international organization.
After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent).
Mental Requirements
Communicating with others to exchange information.
Assessing the accuracy, neatness, and thoroughness of the work assigned.
Physical Requirements and Working Conditions
Remaining in a stationary position, often standing or sitting for prolonged periods.
Repeating motions that may include the wrists, hands, and/or fingers.
Must be able to provide a dedicated, secure work area.
Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
No adverse environmental conditions expected.
Base compensation ranges from $95,000 to $115,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
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 17-27 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.
Date of posting: 8/19/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/19/2026, 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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