[Remote] Senior Revenue Integrity Analyst (GOVT)

Note: The job is a remote job and is open to candidates in USA. Cotiviti is hiring a Senior Revenue Integrity Analyst to support accurate invoicing, revenue application, inventory reconciliation, revenue cycle processes, and financial reporting within its chart review business function. The role owns month-end revenue controls, investigates revenue leakage and financial variances, resolves invoice and client issues, develops reporting, and partners across functions to address root causes.

Responsibilities

• Own month-end revenue validation controls, including reconciliation of outputs, exceptions, adjustments, open inventory, and close support schedules
• Investigate potential missed, delayed, misstated, or incorrectly billed revenue using paid claim transactional data, invoice detail, contractual terms, and internal financial records. Compares disparate data sources to uncover and apply missed opportunity
• Perform and oversee reconciliation of client self-billing files, including data transformation, loading, quality verification, exception analysis, and final invoice support
• Review invoicing accuracy and contract alignment; apply non-standard contractual pricing and resolve discrepancies, disputes, and fee paybacks. Support appropriate closure of inventory
• Analyze period-over-period movement, inventory aging, throughput, financial data, and other financial variances
• Identify root causes of financial underperformance and communicate findings, revenue impact, options, and recommended corrective actions in formal business settings
• Lead invoice-detail questions and escalations with internal and external stakeholders; prepare facts and resolution recommendations for complex client issues
• As needed develop recurring reports, dashboards, forecasts, and insights that monitor KPI and SLA performance, revenue risk, service delivery, and financial accuracy
• Partner with Finance, Operations, Technology, and Engineering to reconcile inventory and correct invoicing or revenue application system and process issues
• Use Power BI, automation, and agentic tools to improve analytical quality, control effectiveness, cycle time, and operating efficiency
• Mentor junior analysts and establish consistent approaches for reconciliations, investigations, documentation, and escalation
• Complete all responsibilities as outlined in the annual performance review and/or goal setting
• Complete all special projects and other duties as assigned

Skills

• 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
• 5-8 years' experience in finance, accounting, healthcare payment integrity, revenue cycle or related fields
• Strong experience in revenue integrity, revenue cycle management, invoice standards, financial and accounting best practices, inventory management, healthcare payment integrity, and healthcare claims processing
• Ability to own multistep month-end controls and resolve complex discrepancies across client-supplied files, invoice detail, and internal financial systems
• Advanced Excel and data-analysis skills; proficiency developing reports and insights in Power BI or similar business intelligence tools
• Working knowledge of healthcare payment integrity, claims processing, finance/accounting, and billing cycles
• Ability to interpret client-specific invoicing logic and contractual requirements and communicate findings to internal and external stakeholders
• Experience collaborating across Finance, Operations, Technology, Engineering, and client-facing teams to implement corrective actions
• Strong organization, written communication, client communication, mentoring, and issue-resolution skills
• Interpret complex transactional, financial, contractual, and inventory data
• Problem-solve and think critically to isolate root causes and determine appropriate corrective actions
• Communicate findings and exchange information with clients, leaders, and cross-functional partners
• Complete complex analyses independently while appropriately escalating material risks and decisions
• Make timely decisions within month-end, invoicing, and client-resolution workflows
• Maintain focus and manage multiple recurring deliverables, investigations, and deadlines
• Assess the accuracy, completeness, and thoroughness of reconciliations, reports, and supporting documentation
• Learn and apply new systems, processes, contract terms, and automation approaches

Benefits

• Medical, dental, vision, 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, depending on specific level and length of service with Cotiviti

Company Overview

Company H1B Sponsorship