Payment Accuracy Specialist

Job Summary

To support a growing healthcare recovery team, the full-time Payment Accuracy Specialist 2 will develop and evaluate audit concepts, train team members, and conduct complex audits while working under moderate supervision.

Key responsibilities

• Develops new audit concepts and trains team members to execute audit projects effectively
• Conducts audits on client data to identify recoverable claims and ensures compliance with regulatory guidelines
• Collaborates with engineering to enhance auditing tools and reporting processes

Required qualifications

• High School Diploma required; Bachelor's degree preferred with 4-6 years of related healthcare experience
• 3-4 years of experience at Cotiviti recommended for internal candidates
• Strong knowledge of claim adjustments, provider contracts, and reimbursement policies
• Proficiency in Microsoft Office and previous SQL experience strongly preferred
• Ability to work with large data sets and demonstrate self-motivation in both individual and team settings