Cotiviti
Cheryl Macauley-James RN, BSN, CPC has extensive experience in healthcare and medical auditing, currently serving as Director of Research Operations at Cotiviti since November 2009, with previous roles including Quality Auditor and Medical Policy Research Manager. Prior to Cotiviti, Cheryl worked at PRGX as a Medicare Audit Manager-RAC, and at Emory University Hospital in the Cardio-Thoracic ICU. Cheryl’s career also includes positions as a Clinical Auditor for the State of Georgia's Department of Audits and Accounts, a Medical Review Analyst at Blue Cross Blue Shield of Florida, and a registered professional nurse in the Cardiovascular ICU at St. Vincent's Medical Center. Cheryl holds a Bachelor's degree in Registered Nursing from the University of North Florida.
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Cotiviti
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Cotiviti Holdings, Inc. is a provider of analytics-driven payment accuracy solutions. The Company focuses primarily on the healthcare sector. The Company operates through two segments: Healthcare, and Global Retail and Other. Through its Healthcare segment, the Company offers prospective and retrospective claims accuracy solutions to healthcare payers in the United States. The Company also provides analytics-based solutions unrelated to its healthcare payment accuracy solutions in the United States. Through its Global Retail and Other segment, the Company provides retrospective claims accuracy solutions to retailers primarily in the United States, Canada and the United Kingdom, as well as solutions that manage payment networks for a range of clients. The Company leverages its technology platform, configurable analytics, information assets and expertise in healthcare reimbursement to help its clients develop their claims payment accuracy.