The Team Lead Clinical Validation Training position leads a team of Trainers focused on promoting audit accuracy measures by training/educating and mentoring the auditor and providing documented and validated findings in support of the audit’s mission and goals. The Team Lead is responsible for development and the creation of tools for centralized training methods; coordinates resources and timelines for implementations, and the ongoing training of new and current staff.

This role will focus on leading Outpatient Specialty team of Trainers/Audits and our preference would be to fill this role with a nurse that already holds a coding credential.

• Coordinates orientation and mentorship of new hire auditors to the audit review process across CCV.
• Confers with audit management and/or team leads to identify training needs based on projected production processes.
• Develops and/or organizes training materials for education across all lines of business including clinical validation, POS, OPSP and CMS.
• Conducts and/or arranges ongoing training including technical (system) training, coding, clinical policies, medical necessity and other relevant trainings across all lines of business within CCV.
• Monitors and tracks results post training for follow up educational needs.
• Ensures the expected level of quality set by the department is consistently met or exceeded. Verifies completeness and accuracy of the work of direct reports. Promptly addresses and resolves issues impacting quality.
• Works in collaboration with the Cotiviti Medical Directors to develop, edit/update macros and policies. Organizes and hosts monthly educational meetings.
• Maintains CCV help files to provide the most up to date, accurate information across the audit. Maintains the R3 macro tool with the addition of new policies or changes/edits to existing policies.
• Leads change by assessing patterns and opportunities for improvement throughout the audit. Facilitates communication across teams.
• Sets priorities for educations and other projects based on business needs.
• In collaboration with Quality Team Leads, tracks quality data and organizes educational plans to promote consistency with the training team and throughout the audit.
• Behaves in a way that consistently demonstrates commitment to Cotiviti values.
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned.
• 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 the requirements of the job change.

• CCS, CPC or CIC Coding certification required and maintained as a condition of employment.
• Preferred - Associate OR Bachelor's degree in Nursing.
• 3-5 years’ experience managing employees.
• Ability to mentor staff and enhance performance.
• 5-7 years’ of working with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria and coding terminology.
• 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.
• Ability to multitask, set priorities and meet deadlines.
• 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.
• Proficiency in Word, Excel, PowerPoint and other applications.
• Excellent written and verbal communication skills.

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.

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 high-speed internet access / connectivity and office setup and maintenance.
• Must be able to provide a dedicated, secure work area.

Base compensation ranges from $110,000 to $130,000 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: 3/16/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 5/16/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

#LI-Remote
#LI-JJ1
#senior