JobMesh

Intern - Associate Auditor Medical Coding Validation

Cotiviti · US

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 alr...

Job description

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 proficien...