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Clinical Validation Nurse Audit Manager

R19450 Lombard, Illinois - Additional locations

Additional Locations: Lombard, Illinois, Pennsylvania, Massachusetts, Connecticut, Florida, North Carolina Lombard, Illinois, United States of America; VIRTUAL, Pennsylvania, United States of America; VIRTUAL, Massachusetts, United States of America; VIRTUAL, Connecticut, United States of America; VIRTUAL, Florida, United States of America; VIRTUAL, North Carolina, United States of America

Transforming the future of healthcare isn’t something we take lightly. It takes teams of the best and the brightest, working together to make an impact.

As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.

Here at Change Healthcare, we’re using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.

If you’re ready to embrace your passion and do what you love with a company that’s committed to supporting your future, then you belong at Change Healthcare.

Pursue purpose. Champion innovation. Earn trust. Be agile. Include all. 

Empower Your Future. Make a Difference.


Clinical Validation Audit Manager- Registered Nurse (RN)

Overview of Position

The Clinical Validation Audit Manager will be responsible for overseeing a team of Clinical Validation Auditors.  This position is responsible for claims assignment, quality assurance, and clinical and coding education for the Clinical Validation Auditors (CVA).  The Clinical Audit Supervisor will interface with CVA staff, physicians, clients, and management as necessary to ensure audit accuracy and integrity in accordance with client contracts and clinical and coding guidelines.

What will be my duties and responsibilities in this job?

• Oversight of a team of up to 15 CVA auditors

• Clinical and coding education for CVA auditors as needed during regularly scheduled team meetings.

• Act as a point of contact for account management and clients regarding Clinical Validation

• Oversight of periodic quality assurance reviews and documentation analysis of CVA audits to ensure consistency and accuracy in accordance with clinical guidelines, client expectations, and contractual requirements.

• Identify and review potential CVA audit inconsistencies, target areas of improvement, and communicate findings with management and audit staff.

• Demonstrate commitment to EquiClaim/Change Healthcare core values

• The position responsibilities outlined above are in no way to be construed as all encompassing.  Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

What are the requirements needed for this position?

• Graduate of an accredited College or University with a current R.N. license

• Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA), or equivalent coding certification

• 5+ year of diverse acute care clinical nursing experience

• 5+ years of clinical auditing experience

• 5+ years of coding experience including extensive knowledge of inpatient coding requirements and documented competency in both ICD-CM and PCS.

• Ability to perform in-depth analysis of clinical documentation relating to appropriateness of care and clinical coding

• Ability to use software, hardware, and peripherals related to job responsibilities, including MS Office

• Excellent oral and written communication skills

• Excellent analytical, organizational, and prioritization skills

• Ability to interface with all levels of the company including clients

• Ability to multi-task in a fast-paced environment

What other skills/experience would be helpful to have?

• Certified Documentation Improvement Practitioner (CDIP) or equivalent preferred

What are the working conditions and physical requirements of this job?

General office demands

How much should I expect to travel?  Up to 10%

Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.








Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information,  national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here to view our pay transparency nondiscrimination policy.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Talent Acquisition Process


Visit our career site, create a profile, and submit your application. Make sure to observe the job description and see how your background can align to the requirements of the role.


Once you apply for a job opening, the Sourcing Specialist or Talent Adviser will review your resume ensuring your background matches the minimum job requirements. Selected candidates will be invited for a phone screen.


Steps will vary by team, but typically include: Talent Advisor phone screen, hiring manager interview, and a combination of technical screens and panel interviews.


If you're selected, you can expect the Talent Advisor to reach out with specific offer details. During this stage you will be provided with an electronic offer letter and other new hire documents.


Once you've received your offer letter, our onboarding team will get you ready for Week 1 and set you up for success! Onboarding tasks may include a background check, drug screening, and other job specific requirements.



Visit our career site, create a profile, and submit your application. Make sure to observe the job description and see how your background can align to the requirements of the role.

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