Payment Accuracy Specialist

Cotiviti

Payment Accuracy Specialist auditing healthcare payment integrity for leading companies. Generating high quality recoverable claims and contributing to compliance with regulatory guidelines.

Posted 7/15/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $26 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare auditing, including knowledge of claim adjustments and reimbursement policies, while effectively utilizing Cotiviti tools and SQL for data analysis. Strong communication skills support collaboration and issue resolution in a fast-paced environment.

Highest-signal resume keywords

Healthcare AuditingCotiviti ExperienceSQL ProficiencyClaims ValidationData Analysis

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Healthcare ExperienceClaim AdjustmentsProvider ContractsReimbursement PoliciesPayment IntegrityData Set Management

Soft Skills

Verbal CommunicationWritten Communication

Tools & Technologies

Cotiviti Audit ToolsRecovery Management SystemMicrosoft OfficeSQL

Certifications & Qualifications

High School DiplomaBachelor's Degree Preferred

Industry Keywords

CMS GuidelinesNAIC GuidelinesAudit ProceduresProductivity StandardsQuality Standards

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Work under moderate supervision, monitored for efficiency in production and quality
Build and maintain understanding of CMS and NAIC guidelines
Utilize Cotiviti audit tools, including Recovery Management System
Perform audit procedures and identify/define issues
Collaborate with Engineering to improve tools and reporting
Achieve standards for productivity and quality in assigned work
Provide verification of claims validation and respond to inquiries

Requirements

What you’ll need

High School Diploma required; Bachelor's degree preferred
4-6 years related experience in healthcare
3-4 years of Cotiviti experience recommended for internal candidates
Knowledge of claim adjustments, provider contracts, reimbursement policies, and payment integrity strongly preferred
Computer proficiency including Microsoft Office (Word, Excel, Outlook, Access)
Previous SQL experience strongly preferred
Excellent verbal and written communication skills
Strong interest in working with large data sets and various databases

Benefits

Comp & perks

Medical, dental, and vision insurance
Disability and life insurance coverage
401(k) savings plans
Paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year