Senior Revenue Integrity Analyst

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 root causes, and mentors junior analysts.

• 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 andSLA 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.

• 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;…