Primarily remote with 10% travel expectation (twice a year to New York City office)
Position Purpose :
Responsible for developing, conducting, administering, and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fidelis Care and assist in development of training and audit tools.
The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position.
Responsibilities :
Develop and maintain complex audit processes and audit tools related to inpatient coding
Develop and conduct clinical education courses for existing and new employees
Audit established guidelines for medical necessity
Analyze training needs and identify, select, or develop appropriate training programs including training aids and materials
Audit staff in accordance with established auditing processes, work with staff to identify and resolve errors, and present findings and recommendations for improvement to management
Evaluate effectiveness of training programs
Research, analyze, and recommend internal / external training programs
Maintain records of training activities and employee progress
Assist with revisions to Policy and Procedure and / or work process development for inpatient coding
Travel may be required
Education / Experience :
4+ years of experience in nursing, training, or auditing in a managed care healthcare setting.
Experience in a lead or supervisory role preferred.
License / Certification :
Current state nursing license.
Driver's license may be required for certain positions.
Must-haves
Bachelor's degree in Nursing, related clinical field or equivalent experience.
Current state nursing license Inpatient Coding Experience (valid / current CPC, CIC, or CCS Certification).
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