[Hiring] Payment Accuracy Specialist 2 @Cotiviti

Role Description

Cotiviti Healthcare is seeking innovative thinkers and creative problem solvers for the role of Payment Accuracy Specialist 2. This role is part of the Data Mining Business Unit (BU) and involves configuring custom claim reviews to investigate billing compliance issues.

• Responsible for developing new and existing audit concepts.
• Gains client acceptance and trains all Specialist levels to execute audit projects.
• Evaluates the effectiveness of audit concepts.
• Audits client data and generates high-quality recoverable claims.
• Conducts and trains more complex audit projects with limited supervision.
• Acts as a mentor, trainer, and developer for less-tenured team members.
• Displays a high degree of independent judgment and professional skepticism.

Qualifications

• High School Diploma - Required.
• Bachelor’s degree (Preferred) and/or 4-6 years of related experience in healthcare.
• 3-4 years of Cotiviti experience recommended for internal candidates.
• Healthcare industry experience, including knowledge of claim adjustments, provider contracts, reimbursement policies, and payment integrity (strongly preferred).
• Computer proficiency including Microsoft Office (Word, Excel, Outlook, Access).
• Previous SQL experience strongly preferred.
• Excellent verbal and written communication skills.
• Strong interest in working with large data sets and various databases.
• Ability to work well in an individual and team environment.
• Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines.

Requirements

• Ability to analyze large volumes of data, identify trends, discrepancies, and anomalies.
• Strong critical thinking skills to assess complex situations and propose practical solutions.
• Make informed decisions based on available data, regulations, and auditing standards.
• Strong understanding of auditing standards, regulations, and industry best practices.
• Ability to recognize when something is wrong or needs further investigation.
• Ability to work effectively as part of an audit team.
• Strong time management skills with the ability to juggle multiple tasks simultaneously.

Benefits

• Base compensation ranges from $29.00 to $33.00 per hour.
• Eligible for discretionary bonus consideration.
• Nonexempt employees are eligible for overtime pay for hours worked over 40 hours in a week.
• Competitive benefits package including medical, dental, vision, disability, and 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 level and length of service.

Company Description

Cotiviti Healthcare is a leading provider of payment accuracy services to recognized companies in the healthcare and retail industries.