Senior Clinical Coding Auditor & Trainer (RN Required)

Bright Vision TechnologiesNew York, NY
12dRemote

About The Position

The Senior Clinical Coding Auditor & Trainer is responsible for developing, conducting, and analysing inpatient clinical coding audits and training programs. This role supports Fidelis Care by ensuring coding accuracy, medical necessity compliance, and ongoing staff education. This position is primarily remote. Candidates must be willing to travel to New York up to twice annually.

Requirements

  • Bachelor’s degree in Nursing or a related clinical field, or equivalent experience
  • 4+ years of experience in nursing, training, or auditing within a managed care or healthcare setting
  • Current state Registered Nurse (RN) license

Nice To Haves

  • Inpatient coding experience with active CPC, CIC, or CCS certification
  • Minimum 1 year of clinical experience in a hospital setting
  • Strong written and verbal English communication skills
  • Prior lead or supervisory experience preferred
  • Valid driver’s license may be required for certain positions

Responsibilities

  • Develop and maintain complex inpatient coding audit processes and tools
  • Conduct inpatient coding audits and review medical necessity guidelines
  • Design and deliver clinical coding education for new and existing staff
  • Identify training needs and develop appropriate learning materials and aids
  • Audit staff performance, identify errors, and collaborate on corrective actions
  • Present audit findings and improvement recommendations to leadership
  • Evaluate training effectiveness and recommend enhancements
  • Research and recommend internal and external training programs
  • Maintain detailed records of training activities and employee progress
  • Assist with policy, procedure, and workflow revisions related to inpatient coding
  • Travel as required
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