Revenue Integrity Analyst

🔥 4 minutes ago

🇺🇸 United States – Remote

💵 $52k - $70k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Support month-end revenue validation by reconciling outputs, exceptions, adjustments, open inventory, and close support schedules • Reconcile client self-billing files to internal financial systems; transform, load, and quality-verify data for finalized invoicing • Validate invoice completeness, accuracy, supporting detail, contractual pricing, and client-specific invoicing logic • Analyze paid claim transactional data, adjustments, and billing records to identify potential missed, delayed, misstated, or incorrect revenue • Research discrepancies between client-supplied files, invoice detail, and internal financial systems; document findings and escalate material issues • Monitor inventory aging, throughput, risk, work queues, KPI and SLA measures, and recurring financial accuracy metrics • Prepare recurring reports, reconciliations, variance schedules, and ad hoc analyses supporting invoicing, revenue application, and financial accuracy initiatives • Respond to invoice-detail questions by compiling supporting facts and coordinating with senior analysts and stakeholders • Maintain documentation and audit support for reconciliations, adjustments, exceptions, and issue resolution • Improve data quality, reporting, and workflow efficiency through Excel, SQL fundamentals, automation, and agentic tools • Collaborate with Finance, Operations, and Technology partners to reconcile inventory and resolve process or system issues • Complete annual performance-review and goal-setting responsibilities, special projects, and other assigned duties

🎯 Requirements

• Bachelor's degree in Accounting, Finance, Economics, Business Administration, Engineering, Computer Science, Mathematics, Statistics, or a related field, or an equivalent combination of education, professional training, and relevant work experience • High school diploma or GED required • 2+ years’ experience in finance, accounting, healthcare payment integrity, revenue cycle or related fields • Basic experience in revenue cycle management, financial and accounting best practices, inventory management, healthcare payment integrity, and healthcare claims processing • Proficiency in Excel, data analysis, reporting, Power BI, data visualization, reconciliation, and structured research • Ability to analyze transactional and financial data, identify discrepancies, document findings, and escalate material concerns • Working knowledge of invoice validation, month-end support, revenue application, inventory metrics, and variance analysis • Foundational SQL skills and the ability to learn reporting, financial, and workflow systems • High attention to detail, critical thinking, organization, and commitment to data quality and financial accuracy • Ability to prepare clear recurring reports and communicate effectively with Finance, Operations, Technology, and other stakeholders • Ability to manage recurring deadlines and complete assigned work independently within established controls and procedures • 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 • Must be able to perform duties with or without reasonable accommodation

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Disability insurance • Life insurance • 401(k) savings plans • Paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti • Dedicated, secure work area • High-speed internet access / connectivity and office setup and maintenance