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Clinical Chart Validation Jobs (NOW HIRING)

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 ...

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Behavioral Health Clinical Supervisor - REMOTE

La Grande, OR · Remote

$60 - $70/hr

... clinical chart audits, and quality assurance. * Previous experience working with children, adolescents, and families is strongly preferred. Additional Requirements * Valid Oregon driver's license.

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Cotiviti

$45.67/hr

Integrates medical chart severity of illness and intensity of service based on clinical guidelines ... valid claim identification and documentation (letter writing). * Identifies New Claim Types.

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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 13, 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.

Auditor Technical Trainer - POS

Remote

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

$33.25 - $44.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 hours 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
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, and delivering technical training, mentoring, and assessment. The individual will work collaboratively with subject matter experts in the Commercial & Government Audit Teams, Quality Assurance, Concept Development, and others to validate workflows and communication tools to enhance audit productivity, performance, and client satisfaction.
Responsibilities
Training, Development, and Mentoring.
  • Assess job-specific needs and develop technical training plans with clear business objectives, including working with subject matter experts, developing training materials, and developing appropriate assessments and measurements of success.
  • Select training/instructional methods and procedures appropriate for the situation when learning or teaching new skills.
  • Deliver specific training sessions, including using suitable delivery methods such as classroom, online, and webinar. Identify the development needs of others and coach, mentor, or otherwise assist others with improving their knowledge skills.
  • Provide support to the CCV audit team members; assist with orientation of new members as needed, mentor new team members after orientation.
  • Promote audit accuracy measures by training/educating and mentoring the auditor and providing documented and validated findings.
  • Encourage critical thinking and discussion among team members on concepts as needed.
  • Provide training on one or more of the following audit types: Place of Service & Readmission
  • Confer with management and conduct surveys to identify training needs based on projected production processes, changes, and other factors.
  • Participate in weekly/monthly team meetings to share best practices initiatives and recommend audit vulnerabilities.
  • Support the Medical Director to ensure accurate assessments of improper payments are based on consistent application of clinical guidelines.

Assess customer/provider/stakeholder issues, complaints, and compliments.
  • Monitor/Assess the performance of self, other individuals, &/or organizations to make improvements or recommend remediation or corrective action.
  • Work with the Quality Team to train audit team members on findings from quality review audits.
  • Develop testing and evaluation procedures. Evaluate instructor performance and the effectiveness of training programs, providing recommendations for improvements. Conduct or arrange for ongoing technical training and personal development classes for staff members.

Quality Assurance Controls.
  • Integrate healthcare auditing principles and use objectivity in the performance of medical audit activities and reviews.
  • Draw on healthcare proficiency and industry knowledge to substantiate conclusions.
  • Perform work independently, review and interpret audit work of others.
  • Depending on the nature and scope of the audit, may review medical records and apply in-depth knowledge of clinical criteria to determine medical necessity, appropriateness of setting, potential billing/coding issues, and quality concerns.
  • Demonstrate an understanding of complex contract specifications when performing medical record reviews.
  • Use healthcare expertise to determine approval or referral to the Medical Director.
  • Provide feedback on reviews to the Quality Assurance Manager as indicated in order to assist with the improvement of rationales sent to providers.

New Concepts and Processes.
  • Develop reasonable and effective recommendations for concept solutions that reflect an understanding of the client environment and risks inherent to our business and industry.
  • Suggest and or develop and implement new ideas, approaches, decision trees, and/or technological improvements that will support and optimize audit results.
  • Collaborate with Data Services in developing new reports.

Meets or Exceeds Standards/Guidelines for Productivity.
  • In addition to regular and predictable attendance, maintain production goals and quality standards set by the audit.
  • Performs QA audits against the expected level of quality and quantity (i.e. hit rate, # claims written, ID per hour).

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
Education/Certification/Licenses (required):
  • Associate or Bachelor's degree in nursing.
  • RN License (active /unrestricted in state of residence).
  • Case Management Certification (preferred, but not required).
  • Additional certifications in InterQual or MCG (preferred, but not required).

Experience:
  • 5 to 7+ years of working with InterQual/MCG (Inpatient vs Observation).
  • Background in Utilization Management and/or Case Management.
  • Critical Care background: ICU, Emergency Room, Cath Lab, Med Surg.
  • 5 to 7+ years of working with a broad knowledge of medical claims, billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology.
  • Adherence to official coding guidelines and other regulatory compliance guidelines and mandates. Requires expert level knowledge of InterQual and/or MCG criteria.
  • Strong presentation skills. Comfortable in presenting/defending audit logic to clients and key stakeholders (i.e. hospitals, physicians, validation contractors, auditing team, etc.).
  • Independent thinker, logical, strategic, with a high focus and attention to detail.
  • Effective communication and presentation style (written and verbal) with proven ability to positively influence behavior and outcomes.
  • Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
  • Competent administrative and organizational skills, ability to multitask, set priorities, and meet deadlines.
  • Professional demeanor: Ability to creatively solve problems, deal with ambiguity, develop and implement policy and procedures, perform analysis and prepare reports, and foster team building.
  • High level of proficiency with all audit technology i.e., R3, CAT, etc.
  • Proficiency in Word, Access, Excel, PowerPoint and other applications.
  • Excellent written and verbal communication skills.
  • Applicants should have home health, IRF, and SNF experience.

Cognitive / Mental Requirements:
  • Communicating with others to exchange information.
  • Problem-solving and thinking critically.
  • Completing tasks independently.

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.
  • No adverse environmental conditions are expected.

Base compensation ranges from $105,000 to $125,000 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: 8/27/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/27/2026, 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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