Job Description

Overview

The Auditor I position is responsible for auditing client data on behalf of Cotiviti’s clients andgenerating high quality recoverable claims for the benefit of Cotiviti and our clients. Responsible for conducting orassisting in the identification, validation, and documentation of moderate to more complex audit projects.Primarily responsible for auditing efforts by executing more independent projects, low to mid-range in scopeassigned by the Audit Manager.Principal Responsibilities and Essential

Responsibilities

• Utilizes retail experience to perform audit procedures that include identifying and defining issues,developing criteria, 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 paidtransactions, determining whether an overpayment exists, identifying incorrect deductions, data mining.
• Enter claims into Cotiviti's system accurately in accordance with standard procedures.
• Advanced identification of audit findings; reviews audit findings with 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 efficiency of tools and reporting.
• Update current reports, develop, and run custom queries, and validate 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.
• 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/under payments.
• 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 concept and/or process improvement, tools, etc. Strong driver and voice in the development of audit concepts.
• Based on experience and in-depth knowledge of client, 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 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.
• Complete all responsibilities as outlined on annual Performance Plan. Required
• Complete all special projects and other duties as assigned. Required

Qualifications

• Fully Bi-Lingual (both written and verbal)
• Bachelor's degree in Finance, Accounting, Business Administration, or related field or equivalent work experience required.
• 1 year of hands-on experience auditing.
• Experience in accounting, finance, accounts payable, retail environment (merchandising, buying, or audit) preferred.
• Strong working knowledge and understanding of retail industries preferred.
• Proven analytic experience using Microsoft Excel, Access database query capabilities, and ability to assess data at various levels of detail.
• Team player that works collaboratively with various team members to accomplish integrated solutions.