Cotiviti
Payment Accuracy Specialist*
Remote, UNAVAILABLE, US
Sponsorship not specified$21k-$24kDetected 1 day ago
ComplianceExcelAuditingHIPAACommunicationMicrosoft Office
About the role
- Overview A Payment Accuracy, Data Mining (DM) Specialist, is a member of the greater Data Mining Business Unit (BU).
- Cotiviti's Data Mining team configures custom claim reviews to investigate untapped billing compliance issues specific to regulations and contracted policies across product, market, and provider types.
- A Payment Accuracy Data Mining (DM) Specialist is responsible for auditing client data and generating high quality recoverable claims for the benefit of Cotiviti and our clients.
Responsibilities
- Documents relevant facts, information and conclusions drawn to support the work performed and validate the claim.
- Meets or exceeds standards for productivity, in addition to regular and predictable attendance, maintains production goals and standards set by the audit for the auditing concept.
Requirements
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
- Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.
Skills
- Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
Compensation
- Base compensation ranges from $21.00 to $24.00 per hour.
Benefits
- Communicates audit recommendations to the supervisory auditor for evaluation, verification, and continuous learning.
- The scope may include Data Mining, Claim Adjudication, Contract Compliance, Provider Billing & Duplicate Payment Reviews, Policy & Reimbursement Analysis, and Quality Assurance across various clients.
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This listing is sourced directly from Cotiviti's careers page and normalized into a canonical job model.