Remote Payment Accuracy Specialist 2
Cotiviti
Job Summary
Cotiviti is hiring a Remote Payment Accuracy Specialist 2 to audit healthcare claims, investigate payment accuracy issues, analyze reimbursement data, and support healthcare payment integrity initiatives. This non-phone role focuses on claims auditing, data analysis, contract compliance review, reimbursement research, and quality assurance.
Job Description
Cotiviti is seeking a Remote Payment Accuracy Specialist 2 to support healthcare payment integrity, claims auditing, reimbursement analysis, and contract compliance initiatives. This full-time remote position plays a key role in identifying payment inaccuracies, reviewing healthcare claims, validating reimbursement methodologies, and helping healthcare clients improve payment accuracy and recovery outcomes.
This Remote Payment Accuracy Specialist role fits best as a non-phone to very low-phone healthcare auditing position. Daily responsibilities focus on reviewing claims data, analyzing reimbursement activity, identifying payment discrepancies, validating audit findings, and researching healthcare billing compliance issues. Team members collaborate with internal departments and provide written responses to inquiries and disputes, but the role does not involve high-volume customer service calls.
The position requires auditing paid healthcare claims, reviewing provider billing activity, evaluating reimbursement methodologies, analyzing client contracts, and identifying overpayments or underpayments. Specialists use audit tools, client systems, Microsoft Excel, and healthcare data sources to investigate billing compliance issues and generate recovery opportunities. They also review claim adjustments, reimbursement policies, and healthcare regulations to support audit findings.
Additional responsibilities include developing audit concepts, validating claim findings, supporting quality assurance activities, identifying new claim recovery opportunities, and collaborating with engineering teams to improve reporting tools and audit efficiency. Specialists also help train team members, share knowledge, and contribute to ongoing process improvements that enhance payment integrity programs.
Candidates with experience in healthcare auditing, payment integrity, claim adjudication, reimbursement analysis, provider contracts, contract compliance, healthcare billing, CMS guidelines, and healthcare regulations may align well with this opportunity. Strong analytical abilities, Excel proficiency, data interpretation skills, and healthcare industry knowledge are essential for success in this role.
Overall, this position is ideal for experienced healthcare audit professionals who enjoy claims analysis, payment integrity investigations, reimbursement research, compliance reviews, data analysis, and healthcare operational improvement within a fully remote environment.