Team Lead Senior Auditor CCV (Place of Service, Short-Stay, Readmission)

Overview

Are you ready to step into a leadership role where your clinical expertise genuinely shapes the future of healthcare auditing? Cotiviti is searching for a dedicated Team Lead Senior Auditor specializing in CCV for place of service, short-stay, and readmission reviews. This fully remote position offers you the chance to work from anywhere in the world while guiding a talented group of auditors. You will act as the driving force behind our audit teams, ensuring that every claim review meets rigorous quality standards, adheres to client service level agreements, and uncovers high quality recoverable claims. If you love mentoring others and possess a sharp eye for clinical validation, this opportunity was built for you.

Key Responsibilities

• Oversee a dedicated team of clinical validation auditors to produce exceptional, sustainable audit outcomes.
• Manage daily queue workflows and distribute work evenly to optimize both team and individual production.
• Provide expert clinical support based on nationally recognized standards and proprietary validation guidelines.
• Monitor claim flows closely to guarantee strict adherence to client agreements and deadlines.
• Lead training initiatives for new hires and provide ongoing coaching for existing staff members.
• Draft thorough audit reports and support comprehensive audit closure activities.

Requirements

• Strong background in clinical validation auditing with a focus on place of service, short-stay, and readmissions.
• Proven experience in a leadership or team lead capacity within healthcare auditing or a related field.
• Deep understanding of nationally recognized clinical standards and healthcare regulations.
• Exceptional organizational skills with the ability to manage queues and optimize workflow.
• Outstanding communication skills for mentoring staff and interacting with clients.
• Reliable high-speed internet connection to support seamless remote collaboration worldwide.

What You'll Gain

• The freedom to work fully remotely from any location across the globe.
• A collaborative culture that values professional skepticism and clinical excellence.
• Opportunities for continuous professional growth and leadership development.
• The chance to make a tangible impact on healthcare quality and financial recovery.

How to Apply

Click the apply button below to view the full job details and submit your application directly through the employer's official page.