We are looking to add a Senior Audit Support Assistant to our Provider Services team! This role will efficiently and professionally handle more complex, broad daily administrative activities within the audit engagement. Responsibilities include providing claim level review of payment methodology, investigating claim payment discrepancy and coding mismatches, and performing re-calculation of claim payments based on audit results. This role will support the auditing team in determining the value of their finding and may engage in basic audit activities under the direct supervision of an audit professional. This role will spend roughly 50% of their time on the phone.

• Provides Specialized Administrative Support. Performs more focused or complex support and administrative assignments for the audit, including file management, data management, Review provider contracts, apply appropriate payment methodology, apply outcome/closure status.
• Generates and Analyzes Reports. Generate report to analyze trends in closed claims to provide feedback to the appropriate department.
• Proof Claim Information. Provides detailed proofing support on claims submittals to ensure accuracy of totals, verbiage, calculations or other key variables prior to client submission.
• Meets or Exceeds Standards for Productivity. Maintains productivity goals and standards set by the department. Insures all department rules and processes are followed. Alerts manager of system issues or other issues impacting productivity.
• Meets or Exceeds Standards for Quality. Achieves the expected level of quality set by the department. Verifies completeness and accuracy of work. Alerts manager of issues or concerns impacting quality of work. 

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

• High School graduate or equivalent education.
• 3+ years’ administrative support.
• Computer proficiency in Microsoft Office applications and system databases.
• Requires working knowledge of and applicable industry based standards.
• Excellent verbal and written communication skills.
• Ability to work well in an individual and team environment.

   

  Preferred Qualifications:   

  • Bachelor’s degree.
  • 3+ years’ medical billing and provider reimbursement experience.
• Job Demands:
  • This is a work at home position....focused on ET day time hours. 
  • Access to high speed internet is required (all other equipment will be provided). 
  • Must be able to sit and use a computer keyboard for extended periods of time.
  • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.

Mental Requirements:

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
• No adverse environmental conditions are expected.

Base compensation ranges from $21.00 to $25.25 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 5/27/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/27/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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