POSITION DESCRIPTION
JOB TITLE: Auditor, Retail Audit
DEPARTMENT: Operations
REPORTS TO: Team Lead - Operations
PRINCIPLE PURPOSE OF JOB
The Auditor position an entry level position responsible for auditing client data 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.
JOB RESPONSIBILITIES
Identifies and Enters Claims
- Under direct supervision, audits standard reports and identifies over and under payments of claims. Scope may include quality assurance; auditing paid claims; determining whether an overpayment exists; duplicate payments; identifying incorrect contract or contract rates and 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.
Effectively utilizes Audit Tools
- Utilizes 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 internal and client tools.
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
- Demonstrates 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.
Delivers Results
- Produces and documents well written claims, consistent with high level of integrity. Claims 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 to reduce false positives, streamline the research process and strive to increase the ID per hour. May offer suggestions and recommendations for process improvement and efficiencies.
ATTRIBUTES AND BEHAVIORS
- Develops and maintains positive working relationships with others.
- Shares ideas and information.
- Assists colleagues unprompted.
- Takes pride in the achievement of team objectives.
- Has credibility with peers and managers.
- Self-motivated driven to achieve results.
- Works with a sense of urgency.
- High customer service ethic – is passionate about meeting customer expectations and improving service levels.
- Keeps pace with change – acquires knowledge/skills as the business evolves.
- Handles confidential information with sensitivity.
- Exhibits behaviors consistent with Cotiviti Values:
- Integrity
- Passionate Client Service
- Teamwork
- Accountability
- Performance Excellence
- Continuous Improvement
RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS
- French B1/B2 DELF Certified
- Bachelor's Degree in Commerce, Finance, or related streams.
- At least 1 year of equivalent experience (auditing, billing, accounts receivables, data analysis).
- 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.
SKILLS & COMPETENCIES
- Collating, checking, and analyzing spreadsheet data.
- Responsible for auditing client’s transactions, data mining and writing audit claims using Cotiviti audit applications.
- Excellent interpersonal and communication skills.
- Self-motivated, determined, and confident.
- Meticulous attention to detail.
- Excellent problem-solving skills.
- Ability to work to deadlines, under pressure.
JOB DEMANDS
- Occasional requirement to travel (primarily related to training and Company meetings) within the India/US.
- Flexibility to travel outside of the India based on business need preferred.
- Ability to work seated at a computer for long periods of time.
- Candidate should be ready to work in different shifts, including night shift.
KEY CONSTITUENTS
- Manager, Team Leader.
- Works with all Cotiviti business teams but especially onshore (Analysts).
