Payment Accuracy Specialist

Working full-time in a remote capacity, a Payment Accuracy Specialist will audit client data, identify recoverable claims, and ensure compliance with billing regulations while utilizing various audit tools and maintaining productivity standards. Key responsibilities Audits standard reports and paid claims to identify over and underpayments across various clients Documents findings and communicates audit recommendations for evaluation and continuous improvement Maintains proficiency in healthcare regulations and Cotiviti policies to ensure compliance and confidentiality Required qualifications High School Diploma is required; Bachelor's degree preferred 1-2 years of related experience in the healthcare industry Proficiency in Microsoft Office applications, particularly Excel Basic understanding of healthcare billing and reimbursement methodologies Experience with data mining and auditing tools is advantageous