Job Description

Job Summary/Purpose

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.

Location: 

***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. ***

Pay Range: $68,700.00 - $123,700.00 per year

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

Highly Preferred Skills:

• Inpatient Coding Experience (valid/current CPC, CIC, or CCS Certification)
• At least 1 year of clinical experience in a hospital setting
• Nursing license required
• Strong written English communication skills

Education/Experience: Bachelors degree in Nursing, related clinical field or equivalent 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. Drivers license may be required for certain positions.

Benefits

The company  offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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