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Clinical Chart Validation Jobs (NOW HIRING)

Cotiviti

Auditor Clinical Validation DRG

$45.67/hr

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding ...

Cotiviti

Auditor Clinical Validation DRG

$45.67/hr

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding ...

Cotiviti

Auditor Technical Trainer - POS

$33.25 - $44.25/hr

Overview This role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing ...

Cotiviti

Overview This role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing ...

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Clinical Chart Validation information

See salary details

$47.5K

$105.4K

$160.5K

How much do clinical chart validation jobs pay per year?

As of Sep 12, 2026, the average yearly pay for clinical chart validation in the United States is $105,415.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,500.00 and $132,000.00 per year, depending on experience, location, and employer.

What is clinical chart validation?

Clinical chart validation is the process of reviewing and verifying medical records to ensure that the documentation accurately reflects the care provided to patients. This involves checking for completeness, accuracy, and compliance with healthcare regulations and standards. Clinical chart validation is essential for supporting accurate billing, improving patient safety, and maintaining the integrity of health information. Professionals involved in this role often work closely with healthcare providers, coders, and auditors.

What are the key skills and qualifications needed to thrive in clinical chart validation?

To excel in Clinical Chart Validation, you need a solid background in medical terminology, healthcare data analysis, and compliance regulations, often supported by a degree in health information management or a related field. Familiarity with electronic health record (EHR) systems, coding software (such as ICD-10 or CPT), and relevant certifications like Registered Health Information Technician (RHIT) are typically required. Attention to detail, critical thinking, and effective communication are essential soft skills for reviewing documentation and collaborating with healthcare providers. These competencies ensure accurate, compliant medical records, supporting optimal patient care and organizational integrity.

What are some common challenges faced in clinical chart validation, and how can they be addressed?

Clinical chart validation professionals often encounter challenges such as incomplete or inconsistent patient documentation, varying terminologies, and tight deadlines for reviews. Addressing these issues typically involves developing strong attention to detail, staying up-to-date with medical coding standards, and collaborating closely with healthcare providers to clarify ambiguities. Proactive communication and ongoing training can help ensure accuracy and maintain compliance with regulatory requirements.

What is the difference between Clinical Chart Validation vs Medical Records Reviewer?

AspectClinical Chart ValidationMedical Records Reviewer
CredentialsTypically requires healthcare or clinical certifications, familiarity with medical terminologyOften requires medical record management or health information certifications
Work EnvironmentHospitals, clinics, clinical research settingsHealthcare facilities, insurance companies, medical record departments
Job FocusVerifying accuracy and completeness of clinical data in chartsReviewing and organizing medical records for accuracy and compliance

Clinical Chart Validation and Medical Records Reviewer roles share similarities in healthcare settings and require knowledge of medical documentation. However, Clinical Chart Validation focuses on verifying the accuracy of clinical data, while Medical Records Review emphasizes organizing and ensuring the completeness of medical records. Both roles are essential for maintaining data integrity in healthcare environments.

What other helpful pages are available for Clinical Chart Validation?

Other pages related to Clinical Chart Validation:

Infographic showing various Clinical Chart Validation job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $105,415 per year, or $50.7 per hour.

Senior Manager Quality Audit Operations (Clinical Chart Validation)

Remote

Cotiviti
Health Care and Social Assistance • 5 - 10K employees
Learn more about Cotivitiexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Cotiviti rating

8.3

Company rating: 8.3 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

Job description

Overview
The Senior Manager, Quality Assurance leads a team of quality-focused individuals across multiple review types responsible for developing, executing, and continuously improving CCV's quality assurance programs, and ultimately, delivering value to our clients. This leader oversees the governance of quality standards, criteria, audit guidelines, and monitoring processes to ensure programs are evaluated, maintained, and refined over time. The Senior Manager is responsible for ensuring the accurate application of audit guidelines applied through AI-supported and human-reviewed processes, to support high audit accuracy, consistent and sustainable review outcomes, and reliable identification of quality opportunities. Grounded in Cotiviti's values-Deeply Curious, People Obsessed, Make it Count, and Build it Better-the Senior Manager fosters a culture of inquiry, accountability, collaboration, and continuous improvement. This role will also focus on incorporating innovation and AI into the QA program to make it more proactive and effective in identifying, prioritizing, and closing vulnerabilities. The role is expected to move beyond reporting results to proactively identify emerging risks, influence corrective action, and confirm measurable, sustained improvement across AI-supported and human-reviewed workflows. The Senior Manager serves as a business partner to operational leaders while fostering alignment among key stakeholders across CCV operations, concept development, machine learning and strategic analytics, and client service teams.
Responsibilities
AI-Enabled Quality Program Governance
  • Owns and matures the quality program framework, including quality controls, sampling strategy, escalation routines, governance cadence, and sustained monitoring.
  • Defines, measures, and monitors accuracy, consistency, and decision quality across AI-supported and human-reviewed workflows.
  • Identifies early quality signals, accuracy drift, and client-facing or operational exposure before issues escalate externally, using root cause analysis, trend monitoring, and risk segmentation to determine whether issues are isolated, systemic, or likely to affect our clients.
  • Partners consultatively with operations, analytics, technology, training, and client-facing leaders to translate quality findings into action.
  • Develops remediation plans that include containment, ownership, timelines, measurable success criteria, governance checkpoints, and evidence of sustained improvement.
  • Ensures changes to AI-supported workflows are supported by controlled pilots, release-readiness criteria, risk-based testing, documentation, post-implementation monitoring, and stakeholder alignment.
  • Champions innovation and responsible use of AI to creatively improve audit performance, increase review effectiveness, strengthen quality insights, and identify scalable opportunities to improve accuracy, productivity, risk detection, and client value.
  • Drives continuous improvement by establishing clear accountability, ensuring disciplined execution of quality actions, and positively influencing auditor and audit behavior through data-driven coaching, feedback loops, reinforcement of expectations, and sustained monitoring of outcomes. Communicates emerging risks and remediation progress clearly to senior leadership with appropriate urgency, balance, and action orientation.

Relationship Management
  • Maintains professional relationships across the quality organization and audit enterprise. Identifies opportunities to expand the scope of quality initiatives to create unique value for clients. Communicates opportunities to Cotiviti Leadership.
  • Establishes reporting and insights on quality program performance and business patterns utilizing metrics that matter.

Productivity Management
  • Ensures that QA productivity goals and standards set are consistently met or exceeded. Removes roadblocks to great performance.
  • Monitors team coverage of responsibilities to assist with redistribution of work as necessary to achieve set targets.
  • Promptly addresses and resolves issues impacting productivity.
  • Builds trust, respect and an engagement through communication and positive reinforcement to create a tradition of maintaining and exceeding internal and external expectations.
  • Strives to continuously Build Better.

Leadership
  • Provides People Obsessed leadership by communicating all expectations as well as future goals. Motivates employees by using a combination of individual, team, and department recognition. Responsible for the operationalization of new quality programs and initiatives. This effort is executed in collaboration with internal stakeholders including but not limited to the CCV Operations and Validiti team, content teams, and the Client Service team.
  • Works closely with the client service team to ensure appropriate execution, monitoring, and maintenance of quality standards.
  • Works closely with the teams responsible for developing clinical, coding, and quality-related content used across quality programs.
  • Facilitates execution of new concept development and maintenance of existing quality criteria within program tools, and provides program oversight.

Project Management
  • Manages expectations of external stake holders via clear communication with client service managers and business unit leadership.
  • Grasps internal operational cycles and processes as well as their impact upon delivery. Understands project scope, schedule, and resources.
  • Anticipates disconnects and identifies solutions.
  • Maintains a Deeply Curious mindset to follow projects to drive results and document improvement.

Additional Responsibilities
  • Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.
  • 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 related field required; Bachelor's degree with a quality, healthcare, or analytical focus preferred - quality management or health administration preferred, but may also include statistics, mathematics, industrial engineering, or computer science (focus in data management and analysis).
  • 3+ years of technical leadership experience: people and projects.
  • AI-native experience using generative AI applications such as Claude, Microsoft Copilot, or similar tools to improve analysis, workflow efficiency, communication, decision support, and quality program execution.
  • AI accuracy mindset: understanding of validation, exception review, quality drift, and human-in-the-loop controls, with the ability to translate these into measurable accuracy improvement. Consultative influence: uses data and business context to influence teams and drive corrective action without creating defensiveness.
  • Proven experience influencing behavior, reinforcing expectations, and driving adoption of process, quality, or performance improvements across audit teams.
  • Remediation execution: builds practical remediation plans with clear owners, milestones, measurable success criteria, and follow-through.
  • Executive communication: able to communicate complex quality and risk concerns in a concise, balanced, and leadership-ready manner, with appropriate urgency.
  • Advanced knowledge of Excel (Pivot Tables, Macro's, V Lookups, queries, advanced written formulas).
  • Strong analytical and problem-solving ability.
  • Organizational skills.
  • Attention to detail and accuracy.
  • Desire and capacity to learn new concepts and software.
  • Excellent written and verbal communication skills.
  • Experience in a HIPAA-regulated environment.
  • Comfortable speaking in front of a group, with clients, and working with physician executives. Professional with ability to properly handle confidential information.
  • Ability to work well independently and in a team environment.
  • Ability to handle multiple tasks, prioritize and meet deadlines.
  • Ability to mentor staff and enhance performance.
  • Skilled in root cause analysis, trend monitoring, and risk segmentation to distinguish isolated issues from systemic or client-impacting trends.

Preferred Skills
  • Experience with quality management methodologies (e.g., Six Sigma, Lean, or CAPA) is a plus.
  • Experience developing or maintaining quality assurance programs, audit methodologies, or quality monitoring systems is a plus.
  • Knowledge of medical reimbursement/payment policies, audit review methodologies, and medical terminology is a plus.

Cognitive/Mental Requirements:
  • Communicating with others to exchange information.
  • Problem-solving and thinking critically.
  • Completing tasks independently.
  • Interpreting data.
  • Making timely decisions in the context of a workflow.
  • Maintaining focus.
  • Assessing the accuracy, neatness and thoroughness of the work assigned.
  • Learning new tasks and completing tasks in situations that have a speed or productivity quota. Remembering and adhering to processes and protocols.
  • Applying established protocols in a timely manner.

Working Conditions and Physical Requirements:
  • 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 $120,000 to $ $160,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
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: 7/28/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 9/28/2026, 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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