高级收入合规分析师
Senior Revenue Integrity Analyst
负责高级收入准确性分析及关键月末控制，支持准确的发票开具、收入应用、库存对账、收入周期流程和财务报告，工作内容涉及复杂的图表审查业务职能。该职位调查收入流失情况，处理收入应用，管理收入SLA，分析库存和财务差异，并解决发票和客户问题。该职位开发可操作的报告，与其他部门合作纠正根本原因，并指导初级分析师。
职责
- 负责月末收入验证控制，包括输出对账、异常处理、调整、未结库存和关闭支持表单。
- 使用已付费索赔交易数据、发票详情、合同条款和内部财务记录，调查可能被遗漏、延迟、错误陈述或错误计费的收入。对比不同数据源以发现并应用被遗漏的机会。
- 执行并监督客户自开票文件的对账，包括数据转换、加载、质量验证、异常分析和最终发票支持。
- 审核发票准确性和合同一致性；应用非标准合同定价并解决差异、争议和费用退款。支持适当的库存关闭。
- 分析期间变动、库存老化、吞吐量、财务数据和其他财务差异。
- 识别财务表现不佳的根本原因，并在正式商务场合沟通发现结果、收入影响、选项和建议的纠正措施。
- 领导与内部和外部利益相关者的发票详情问题和升级；为复杂客户问题准备事实和解决方案建议。
- 根据需要开发定期报告、仪表板、预测和洞察，监控KPI和SLA表现、收入风险、服务交付和财务准确性。
- 与财务、运营、技术及工程团队合作，对账库存并纠正发票或收入应用系统及流程问题。
- 使用Power BI、自动化和代理工具提高分析质量、控制有效性、周期时间和运营效率。
- 指导初级分析师并建立一致的对账、调查、文档和升级方法。
- 完成年度绩效评估中列出的所有职责
查看英文原文
Overview
The Sr. Revenue Integrity Analyst owns advanced revenue analysis and key month-end controls that support accurate invoicing, revenue application, inventory reconciliation, revenue cycle processes, and financial reporting within the complex chart review business function. This role investigates revenue leakage, applies revenue, manages revenue SLAs, analyzes inventory and financial variances, and leads resolution of invoice and client issues. The role develops actionable reporting, partners across functions to correct root causes, and mentors junior analysts.
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.
- Must be able to perform duties with or without reasonable accommodation.
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 requirements of the job change.
Qualifications
- 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.
Cognitive / Mental Requirements
- 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.
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.
Base compensation ranges from $80,000 to $95,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
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: 9/16/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/16/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
#senior
Originally posted on Himalayas