Cotiviti · 1 day ago
Auditor II (Retail)
United States
Full-time
Remote
Mid Level
$29/hr - $35/hr
3+ years exp
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Responsibilities
Utilizes retail experience to perform audit procedures that include identifying and defining issues, developing criteria, and reviewing and analyzing evidence with the intent to audit standard medium-complex reports.
Identify and validate over and under-payments of claims.
Work is advanced in scope and complexity. Scope may include: quality assurance, auditing paid transactions, determining whether an overpayment exists, identifying incorrect deductions, and data mining.
Enter claims into Cotiviti's system accurately in accordance with standard procedures.
Advanced identification of audit findings; reviews audit findings with the audit team and documents exceptions as part of knowledge sharing for results.
Utilize, with advanced proficiency, Cotiviti and client tools required to perform duties. Works with IT to increase the efficiency of tools and reporting.
Update current reports, develop and run custom queries, and validate the accuracy of current reports used.
Make determinations based on prior knowledge, best practices, and experience of client contract terms with the likelihood of recovery acceptance.
In addition to regular and predictable attendance, maintain production goals and quality standards set by the audit for the auditing concept.
Highly proficient subject matter expert for client disputes for claims written. Provide verification of claims validation and confirmation, in a concise written manner.
Demonstrate a high level of expertise in reviewing transaction types, client contracts and vendor agreements, and client data with limited supervision of how to identify potential over/underpayments.
Participate in the onboarding of employees new to the audit. Be a skilled resource regarding how to review and explain audit tools, client-specific terminology, and people resources including colleagues, clients, and other stakeholders.
Use proven methodologies to research and substantiate claims outside of the concept where additional recoveries may be available.
Enlists others internally or externally to suggest, validate, develop, and analyze high-quality, high-value concepts and/or process improvement, tools, etc. Strong driver and voice in the development of audit concepts.
Based on experience and in-depth knowledge of clients, contract terms, and complex claim types, suggest and/or develop and implement new ideas, approaches, and/or technological improvements that will support and enhance audit production, communication, and client satisfaction.
Evaluate the information and draw logical conclusions. Use validation methods to test and produce a desired or intended result of the new concepts. Collaborates with Business Optimization in developing new reports.
Qualification
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Required
Bachelor’s degree in finance, Accounting, Business Administration, or related field required.
+3 years of hands-on experience auditing.
Proven analytic experience using Microsoft Excel, Access database query capabilities, and ability to assess data at various levels of detail.
Investigative skills include the ability to evaluate facts and evidence to conclude, even if the information is limited, as well as explain problems or situations using a systematic framework.
Strong communication skills, including the ability to build relationships and articulate thoughts clearly and effectively.
Ability to succeed in a frequently changing and unstructured environment and deal with ambiguity.
Team player that works collaboratively with various team members to accomplish integrated solutions.
Preferred
Experience in accounting, finance, accounts payable, and retail environment (merchandising, buying, or audit) preferred.
Strong working knowledge and understanding of retail industries preferred.
Benefits
Medical
Dental
Vision
Disability
Life insurance coverage
401(k) savings plans
Paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.
Company
Cotiviti
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States.
5,001-10,000 employees
Funding
Current Stage
Late StageLeadership Team
Adam Gilbert
Director, Interoperability Operations and Partnerships
Chris McIntyre
Sr. Program Manager, RQNC Operations
Recent News
2024-04-07
Company data provided by crunchbase
