Senior Clinical Coding Auditor & Trainer - Remote

Overview

This senior-level role is part of a national managed care organization that focuses on clinical coding quality and education programs. You'll lead inpatient coding audits and develop training programs to enhance accuracy and compliance.

In Short

• Lead inpatient coding audits and review medical necessity.
• Develop and execute complex inpatient coding audit processes.
• Design and deliver clinical coding education and training programs.
• Identify training gaps and recommend targeted education solutions.
• Partner with staff to resolve audit findings and improve accuracy.
• Present audit results and recommendations to leadership.
• Maintain training records and documentation.
• Support updates to policies, procedures, and workflows.
• Travel to New York twice per year for onsite meetings.

Requirements

• Registered Nurse (RN) with an active state license.
• Bachelor’s degree in Nursing or related clinical field.
• 4+ years of experience in nursing, training, or auditing in managed care.
• Inpatient coding audit experience.
• Current coding certification: CPC, CIC, or CCS.
• 1+ year of inpatient clinical experience.
• Strong written communication skills.

Benefits

• Bonus eligible (8%).
• No relocation or sponsorship available.
• Fully remote with limited travel (2x/year).