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Fidelis Care - New York · 1 day ago

Senior Clinical Coding Auditor & Trainer

New York, United States

Full-time

Hybrid

Mid, Senior Level

$69K/yr - $124K/yr

4+ years exp

Fidelis Care is a part of Centene, a diversified national organization transforming the health of communities. The Senior Clinical Coding Auditor & Trainer is responsible for developing and conducting clinical coding training and auditing programs, including auditing inpatient coding processes and assisting in the development of training tools.

AssociationCommunitiesHealth CareInsurance

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

Qualification

Inpatient Coding ExperienceCPC CertificationCIC CertificationCCS CertificationNursing LicenseClinical ExperienceTraining DevelopmentAuditing SkillsWritten English Communication