A national managed care organization is expanding its clinical coding quality and education programs and this seniorlevel role sits at the center of that mission. Youll lead inpatient coding audits develop training programs and partner with clinical teams to improve accuracy and compliance across a 28millionmember population.
This is a handson highimpact role for an RN who thrives in audit education and continuous improvement.
What Youll Do
Develop maintain and execute complex inpatient coding audit processes
Conduct inpatient coding audits and review medical necessity against guidelines
Design and deliver clinical coding education and training programs
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
Maintain training records and documentation
Support updates to policies procedures and workflows
Travel to New York twice per year for onsite meetings
Qualifications :
What You Bring
Registered Nurse (RN) with an active state license
Bachelors degree in Nursing (or related clinical field with equivalent experience)
4 years of experience in nursing training or auditing in a managed care setting
Inpatient coding audit experience
Current coding certification: CPC CIC or CCS
1 year of inpatient clinical experience
Strong written communication skills
Nice to Have:
Experience as a lead trainer or supervisor
Experience developing training materials or audit tools
Additional Information :
Additional Details
Bonus eligible (8%)
No relocation or sponsorship available
Fully remote with limited travel (2x/year)
Remote Work :
Yes
Employment Type :
Full-time
CRD Careers brings over 20 years of expertise in leadership, mentoring, and talent acquisition to this passion-driven mission. Our goal is not only to break down gender and racial barriers but to empower organizations of all sizes with a Creative, Resourceful, and Diverse approach.At ... View more