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, conduct client data audits, and mentor junior team members while working remotely.

Key responsibilities

• Develop and implement new audit concepts and train team members on executing audit projects
• Conduct audits of client data to identify recoverable claims and ensure compliance with regulatory guidelines
• Collaborate with engineering teams to enhance auditing tools and reporting efficiency

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 payment integrity in the healthcare industry
• Proficiency in Microsoft Office, with previous SQL experience strongly preferred
• Ability to analyze large data sets and identify trends or discrepancies effectively