Revenue Integrity Analyst

Cotiviti•Remote,
•$52,000 - $70,000•Remote

About The Position

Supports accurate month-end close, invoicing, revenue application, and inventory reporting through detailed validation, reconciliation, and analysis. The analyst researches discrepancies, monitors operational and financial metrics, identifies potential revenue leakage, and prepares recurring reports and invoice support. The role escalates material findings and collaborates with internal partners to maintain financial accuracy and effective controls. The position involves validating revenue and invoices, reconciling client self-billing files with internal financial systems, analyzing claims and billing data, monitoring inventory and performance metrics, and maintaining documentation and audit support. It also contributes to improving data quality, reporting, and workflow efficiency using Excel, foundational SQL, automation, and agentic tools. The role requires a dedicated, secure work area, high-speed internet connectivity, and an office setup. Base compensation ranges from $52,000 to $70,000 per year. Offers depend on factors including experience, education, skills, certifications, and business needs. Applications are assessed on a rolling basis; the anticipated application-window close date is 12/16/2026, subject to change or earlier closure.

Requirements

  • Bachelor's degree in Accounting, Finance, Economics, Business Administration, Engineering, Computer Science, Mathematics, Statistics, or a related field, or an equivalent combination of education, professional training, and relevant work experience; high school diploma or GED required.
  • At least 2 years of experience in finance, accounting, healthcare payment integrity, revenue cycle, or a related field.
  • Basic experience in revenue cycle management, financial and accounting best practices, inventory management, healthcare payment integrity, and healthcare claims processing.
  • Proficiency in Excel, data analysis, reporting, Power BI, data visualization, reconciliation, and structured research.
  • Ability to analyze transactional and financial data, identify discrepancies, document findings, and escalate material concerns.
  • Working knowledge of invoice validation, month-end support, revenue application, inventory metrics, and variance analysis.
  • Foundational SQL skills and ability to learn reporting, financial, and workflow systems.
  • High attention to detail, critical thinking, organization, and commitment to data quality and financial accuracy.
  • Ability to prepare clear recurring reports and communicate effectively with Finance, Operations, Technology, and other stakeholders.
  • Ability to manage recurring deadlines and complete assigned work independently within established controls and procedures.
  • Ability to interpret transactional, financial, invoice, and inventory data; investigate discrepancies and potential revenue leakage; and assess work accuracy and completeness.
  • Ability to communicate and document findings, make timely decisions within assigned workflows, and escalate issues when appropriate.
  • Ability to learn new tasks, systems, data structures, and client-specific invoicing processes, and to adhere to established controls and documentation requirements.
  • Ability to remain focused while completing detailed work and managing recurring deadlines.
  • Ability to provide a dedicated, secure work area, high-speed internet access/connectivity, and office setup and maintenance.

Responsibilities

  • Support month-end revenue validation by reconciling outputs, exceptions, adjustments, open inventory, and close support schedules.
  • Reconcile client self-billing files to internal financial systems; transform, load, and quality-verify data used for finalized invoicing.
  • Validate invoice completeness, accuracy, supporting detail, contractual pricing, and client-specific invoicing logic.
  • Analyze paid claim transactional data, adjustments, and billing records to identify potentially missed, delayed, misstated, or incorrect revenue.
  • Research discrepancies between client-supplied files, invoice detail, and internal financial systems; document findings and escalate material issues.
  • Monitor inventory aging, throughput, risk, work queues, KPI and SLA measures, and recurring financial accuracy metrics.
  • Prepare recurring reports, reconciliations, variance schedules, and ad hoc analyses supporting invoicing, revenue application, and financial accuracy initiatives.
  • Respond to invoice-detail questions by compiling supporting facts and coordinating with senior analysts or other stakeholders for resolution.
  • Maintain clear documentation and audit support for reconciliations, adjustments, exceptions, and issue resolution.
  • Identify opportunities to improve data quality, reporting, and workflow efficiency through Excel, SQL fundamentals, automation, and agentic tools.
  • Collaborate with Finance, Operations, and Technology partners to reconcile inventory and resolve process or system issues.
  • Complete responsibilities outlined in the annual performance review and/or goal setting, as well as special projects and other assigned duties.
  • Perform duties with or without reasonable accommodation.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Disability insurance
  • Life insurance
  • 401(k) savings plan
  • Paid family leave
  • 9 paid holidays per year
  • 17–27 days of paid time off per year, depending on level and length of service
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