Job Description

Job Description

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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