Cotiviti

Senior Revenue Integrity Analyst

Cotiviti$80K — $95K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in a related field (Finance, Accounting, etc.) or equivalent experience.
  • 5-8 years of experience in finance, accounting, or revenue cycle.
  • Strong understanding of revenue integrity and healthcare payment systems.
  • Advanced Excel and data-analysis skills; proficiency in Power BI or similar tools.
  • Ability to navigate complex client invoicing and financial data discrepancies.
  • Experience working collaboratively across multiple business functions.
  • Excellent organizational and communication skills for mentoring and issue resolution.

Responsibilities

  • Own and manage month-end revenue validation and reconciliation controls.
  • Investigate discrepancies in revenue using claims and financial data.
  • Oversee self-billing file reconciliation processes.
  • Ensure invoicing accuracy and compliance with contractual agreements.
  • Analyze financial variances and provide insights on performance.
  • Lead resolution of complex invoice and client issues with stakeholders.
  • Develop reports and dashboards to monitor financial performance.

Benefits

  • Medical, dental, and vision insurance coverage.
  • 401(k) savings plans.
  • Paid family leave and 9 paid holidays per year.
  • 17-27 days of Paid Time Off based on tenure.
  • Comprehensive benefits package to support personal and family needs.
Full Job Description
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 withinthe complex chart review business function. This role investigates revenue leakage, applies revenue,manages revenue SLAs, analyzes inventory and financial variances, and leads resolution of invoiceand client issues. The role develops actionable reporting, partners across functions to correct rootcauses, 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 claimtransactional data, invoice detail, contractual terms, and internal financial records. Comparesdisparate 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 andresolve discrepancies, disputes, and fee paybacks. Support appropriate closure of inventory.
  • Analyze period-over-period movement, inventory aging, throughput, financial data, and otherfinancial 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; preparefacts and resolution recommendations for complex client issues.
  • As needed develop recurring reports, dashboards, forecasts, and insights that monitor KPI andSLA performance, revenue risk, service delivery, and financial accuracy.
  • Partner with Finance, Operations, Technology, and Engineering to reconcile inventory and correctinvoicing 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 performedand is not to be construed as an exhaustive list of responsibilities, duties and skills required. This jobdescription does not constitute an employment agreement and is subject to change as the needs ofCotiviti 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 years99 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 ourCareers 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.

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About Cotiviti

Cotiviti is a healthcare technology company that provides analytics-driven payment accuracy solutions mainly to the healthcare and retail sectors. The company's solutions help clients improve their financial performance and reduce healthcare costs. Cotiviti's solutions include prospective and retrospective claims accuracy solutions, payment integrity, risk adjustment, quality improvement, and advisory services. The company was founded in 1979 and is headquartered in Atlanta, Georgia.
Learn more about Cotiviti
Size
4,400 employees
Industry
Founded
1979

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