Senior Auditor (Retail)

Overview

The Senior Auditor position is responsible for auditing client data on behalf of Cotiviti's clients and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Responsible for conducting or assisting in the identification, validation, and documentation of moderate to more complex audit projects. Primarily responsible for mid to high auditing efforts by executing more independent projects assigned by the Audit Manager.

Responsibilities

• Utilizes retail experience to perform audit procedures that include identifying and defining issues, developing criteria, and 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 paid transactions, determining whether an overpayment exists, identifying incorrect deductions, and data mining.
• Enter claims into Cotiviti's system accurately in accordance with standard procedures.
• Advanced identification of audit findings; reviews audit findings with the 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 the efficiency of tools and reporting.
• Update current reports, develop and run custom queries, and validate the 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.
• Highly proficient subject matter expert for client disputes for claims written. 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/underpayments.
• 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 concepts and/or process improvement, tools, etc. Strong driver and voice in the development of audit concepts.
• Based on experience and in-depth knowledge of clients, 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 the 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 in the annual performance review and/or goal setting. Required.
• Complete all special projects and other duties as assigned. Required.
• Must be able to perform duties with or without reasonable accommodation. Required.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change. Required.

Qualifications

• Bachelor's degree in Finance, Accounting, Business Administration, or related field required.
• +5 years of hands-on experience auditing.
• Experience in accounting, finance, accounts payable, and 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.
• Investigative skills include the ability to evaluate facts and evidence to conclude, even if information is limited, as well as explain problems or situations using a systematic framework.
• Strong communication skills, including the ability to build relationships and articulate thoughts clearly and effectively.
• Ability to succeed in a frequently changing and unstructured environment and deal with ambiguity.
• Team player that works collaboratively with various team members to accomplish integrated solutions.

Mental Requirements:

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• No adverse environmental conditions are expected.
• Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
• Must be able to provide a dedicated, secure work area.

Base compensation ranges from $38 Hr. to $54 Hr. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Reposted Date: 3/29/2024

Applications are assessed on a rolling basis. We anticipate that the application window will close on 9/29/2024, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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