Position Description

Title: Auditor Division: Global Retail

Position Summary

The Auditor position is responsible for auditing client data and/or documentation on behalf of Cotivitis clients and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Under direct supervision, identifies and inputs recovery claims, voids, or other over- underpayment types. Documents relevant facts, information and conclusions drawn to support the work performed so other reviewers may validate claim. Communicates audit recommendations to supervisory auditor for evaluation, verification and continuous learning.

Key Responsibilities

Identify and Enter Claims

Under direct supervision, audit standard reports, smaller/lower profile project based routines and identify over and under payments of claims. Scope may include; auditing paid claims; determining whether an overpayment exists; duplicate payments; identifying incorrect contract or contract rates; Data Mining. Enter the claim into Cotiviti system accurately and in accordance with standard procedures. Can work on some simple/medium standard audit reports with support and may include the review and documentation of claim potentials identified by Auditors and Sr. Auditors.

Effectively Utilize Audit Tools

Utilize with increasing proficiency, proprietary reports, tools and systems required to perform duties. With moderate guidance and direction, timely executes assigned standard reports and updates. Working proficiency with all systems and applications including Decipher and client tools.

Meet or Exceed Standards/Guidelines for Productivity

In addition to regular and predictable attendance, maintain production goals and quality standards set by the audit for the auditing concept. Works to meet the expected level of quality and quantity (i.e. fees per hour, vendor/project volume completion, claims written) determined for the audit.

Meet or Exceed Standards for Quality

Achieve the expected level of quality set by the audit for the auditing concept, for valid claim identification and documentation.

Prepare Response to Client/Vendor Disputes

Respond to client/vendor disputes or internal QA for claims written.

Provide verification of claims validation, in concise written and oral manner.

Review Client Transactions

Build a personal proficiency around transaction types, client

contracts/vendor agreements,



and client data with understanding of how to identify potential over/under payments.

Critical Success Factors

Lives Our Values

Understands and consistently demonstrates the spirit and behaviors associated with Cotiviti's values.

Critical Thinker

Demonstrates adeptness in identifying errors and exceptions that result in valid claims. Has an eye for irregularities. Ability to analyze data, identify inconsistencies and formulate workable solutions. Makes logical, well-reasoned and timely decisions.

Initiative Taker

Shows initiative and a willingness to engage in all areas of the audit. Reaches beyond current tasks to add value to audit team. Goes the extra step to solve problems instead of waiting for someone else to solve them. Successfully integrates and multi-tasks new assignments.

Technically Capable

Demonstrated competency with tools of the job including but not limited to computers, word processing & spreadsheet applications, web systems, Cotiviti and Client systems, and data file structures. Can efficiently download and format common file types.

Customer Centric

Treats customers/clients both internal and external as number one priority, is committed to continuous quality improvement, is courteous and responsive to customer's needs, meets or exceeds all customer commitments and treats customers honestly.

Deliver Results

Produces and documents well written claims, consistent with Cotiviti's high level of integrity. Claims are well supported and documented and can be easily understood by client and provider/supplier community. Consistently meets or exceed goals at expected levels of quality and productivity. Demonstrates willingness and readiness to take on more responsibility in support of the audit.

Time Management

Ensures timely completion of audit reports. Exhibit's an understanding of audit planning activities and uses a structured and dependable approach to accomplishing assigned work.

Continuous Improvement

Identify opportunities to improve the efficiency of standard report,



streamline the research process and strive to increase the fees per hour. May offer suggestions and recommendations for process improvement and efficiencies.

Regulatory/Compliance

Demonstrates understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory . Assures confidentiality and security of all data. Demonstrates the skills, knowledge, and ability to ensure that our environment is a secure one, complying with industry standards.

Education

Degree Program of Study Required/Preferred

Bachelors Finance Preferred

Educational Requirements

Bachelor's Degree in Finance,Science,Accounting and/or Bus Administration. If no bachelor’s degree, at least 2 -3 years of equivalent experience required.

Certifications & Licensures

Certifications/Licensures Required/Preferred

Skills and Experience

Experience Requirements

- Bachelor's degree or equivalent experience
- Computer proficiency in Microsoft Office (Word, Excel, Outlook); Access preferred
- Strong interest in working with large data sets and various databases
- Retail industry experience desired
- Excellent verbal and written communication skills
- Self-motivated and driven to succeed

Disclaimer

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 requirements of the job change.

Employee Statement of Understanding

I have read and understand the job description for my position. I am able to perform all of the essential functions of this position.

I agree to comply with the corporate compliance policy and all laws, rules, regulations and standards of

conduct relating to my position. As an employee, I understand my duty to report any suspected violations of the law or the standards of conduct to my immediate supervisor.

As an employee, I will strive to uphold the mission and vision of the organization. All employees are required to adhere to the values in all their interactions with patients, customers, and fellow employees.

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Employee’s Signature Date

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Employee’s Name

📌 French Auditor (Hyderabad)
🏢 Cotiviti
📍 Hyderabad