Senior Clinical Coding Auditor & Trainer (Remote) - RN required

CRD Careers (Independent Recruiters)•New York, NY

6d•$68,700 - $123,700•Remote

About The Position

Remote | Managed Care | Inpatient Coding You could be the one who helps improve care for 28 million members. Centene is continuing to invest in strong clinical coding quality, education, and audit programs — and this role sits right at the center of that work. This is a senior, hands-on role focused on inpatient coding audits, training, and clinical education within a managed care environment. This position is primarily remote. Candidates must be willing to travel to New York twice per year.

Requirements

Registered Nurse (RN) with a current, active state nursing license
Bachelor’s degree in Nursing (or related clinical field with equivalent experience)
4+ years of experience in nursing, training, or auditing within a managed care healthcare setting
Inpatient coding audit experience
Current, valid coding certification: CPC, CIC, or CCS
At least 1 year of clinical experience in a hospital (inpatient) setting
Strong written English communication skills

Nice To Haves

Experience in a lead, trainer, or supervisory capacity
Background in developing training materials or audit tools

Responsibilities

Develop, maintain, and execute complex inpatient coding audit processes and tools
Conduct inpatient coding audits and review medical necessity against established guidelines
Design and deliver clinical coding education and training programs for new and existing staff
Identify training gaps and recommend targeted education solutions
Partner with staff to resolve audit findings and improve coding accuracy
Present audit results, trends, and recommendations to leadership
Evaluate training effectiveness and continuously improve programs
Maintain training records and employee progress documentation
Support updates to policies, procedures, and workflows related to inpatient coding
Participate in limited travel as required