French Auditor

Principal Purpose of Job : The French Auditor position is responsible for auditing client data and generating high-quality recoverable claims for the benefit of Cotiviti and our clients. Under direct supervision, this role identifies and inputs recovery claims, voids, or other over-underpayment types. The Auditor documents relevant facts, information, and conclusions to support the work performed, ensuring other reviewers can validate claims. This role also communicates audit recommendations to the 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. Enters claims into the 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. Demonstrates 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 and the 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 the audit team. Proactively solves 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 internal and external customers / clients as a top priority, committed to continuous quality improvement. Is courteous and responsive to customer needs, meets or exceeds all customer commitments, and treats customers honestly.
• Delivers Results : Produces and documents well-written claims, consistent with a high level of integrity. Claims can be easily understood by client and provider / supplier community. Consistently meets or exceeds 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. Exhibits an understanding of audit planning activities and uses a structured and dependable approach to accomplishing assigned work.
• Continuous Improvement : Identifies opportunities to improve the efficiency of standard reports 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.

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Skills Required

French, Microsoft Office, Auditing, Databases, Communication Skills