Cotiviti

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

$112,000 to $132,000 per yearFull-time · US-Remote
✓ Verified live on the employer's own system · added 2 days ago
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Mid-level · 5+ yrs exp

Requirements

Education: Associate's degree

Experience: 5+ years

License: RN license

Skills & tools

NursingCase ManagementProgrammingRecordkeepingManagementMS OfficeExcelBilling

Benefits — mentioned in this posting

Bonus / commissionHealth, dental & vision401(k) / retirementFamily / parental leavePaid time off
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Full job description

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.

Qualifications Education/Certification/Licenses (required): Associate or Bachelor's degree in nursing. RN License (active /unrestricted in state of residence).

Case Management Certification (preferred). Coding or Clinical Documentation Certification (preferred) Experience: 2+ years' prior management or supervisory experience preferred. 5+ years of related experience in: Auditing, Quality or Appeals focused on these types of audits: Place of Service, Short Stay & Readmission.

Computer proficiency in Microsoft Excel, Access and system databases are required. Prior Healthcare Billing and/or claims experience desired, but not required.

Ability to mentor staff and enhance performance as it relates to the quality and productivity of their audits. Requires working knowledge of and applicable industry-based standards.

Excellent verbal and written communication skills. Ability to work well in an individual and team environment. 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 high-speed internet access / connectivity and office setup and maintenance.

Must be able to provide a dedicated, secure work area. Base compensation ranges from $112,000 to $132,000 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: 8/5/2026 Applications are assessed on a rolling basis.

We anticipate that the application window will close on 10/5/2026, 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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However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

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This posting was published by Cotiviti on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.