Overview

The Auditor I position is responsible for auditing client data on behalf of Cotiviti’s clients andgenerating high quality recoverable claims for the benefit of Cotiviti and our clients. Responsible for conducting orassisting in the identification, validation, and documentation of moderate to more complex audit projects.Primarily responsible for auditing efforts by executing more independent projects, low to mid-range in scopeassigned by the Audit Manager.Principal Responsibilities and Essential

Responsibilities

• Utilizes retail experience to perform audit procedures that include identifying and defining issues,developing criteria, reviewing, and analyzing evidence with the intent to audit standard medium-complex reports.Identify and validate over and under payments of claims.

• Work is advanced in scope and complexity. Scope may include quality assurance, auditing paidtransactions, determining whether an overpayment exists, identifying incorrect deductions, data mining.

• Enter claims into Cotiviti's system accurately in accordance with standard procedures.





• Advanced identification of audit findings; reviews audit findings with audit team and documents exceptions as part of knowledge sharing for results.

• Utilize, with advanced proficiency, Cotiviti and client tools required to perform duties.

• Works with IT to increase efficiency of tools and reporting.

• Update current reports, develop, and run custom queries, and validate accuracy of current reports used.

• Make determinations based on prior knowledge, best practices, and experience of client contract terms with the likelihood of recovery acceptance.

• In addition to regular and predictable attendance, maintain production goals and quality standards set by the audit for the auditing concept.

• Provide verification of claims validation and confirmation, in a concise written manner.

• Demonstrate a high level of expertise in reviewing transaction types, client contracts and vendor agreemen

📌 Auditor I Retail (Ciudad de México)
🏢 Cotiviti
📍 Ciudad de México