19 Aug
|
Cotiviti
|
Hyderabad
19 Aug
Cotiviti
Hyderabad
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 straightforward/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
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