Content Analyst II - Drug and Biological Policy

About This Gig

Overview The Drug and Biological Policy (D&B) Content Analyst II is a key member of the clinical operations and content team and is responsible for the research, quality assurance, and maintenance of existing D&B policies. This individual is expected to define additional logic and algorithms to expand the D&B Library and add value for our clients who implement this policy. Responsibilities Provide coding and industry expertise to help create and maintain clinical coding edits. Responsible for writing business logic for new rules and enhancements by translating industry references into Cotiviti policy. Reviews and identifies changes to D&B policies in order to maintain an accurate and current medical policy library. Work with the client teams to provide coding and clinical expertise for customer inquiries, questions, challenges or appeals of clinical rules. Assumes full ownership and accountability for assigned D&B policies. Help mentor and train any new team member

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