American Recruiting & Consulting Group ยท 2 months ago
Senior Clinical Coding Auditor & Trainer
Centene is transforming the health of our communities, one person at a time. The Senior Clinical Coding Auditor & Trainer is responsible for developing, conducting, administering, and analyzing clinical coding training and auditing programs.
Professional ServicesRecruitingStaffing Agency
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
Required
Bachelor's degree in Nursing, related clinical field or equivalent experience
Current state nursing license
Inpatient Coding Experience (valid/current CPC, CIC, or CCS Certification)
4+ years of experience in nursing, training, or auditing in a managed care healthcare setting
At least 1 year of clinical experience in a hospital setting
Strong written English communication skills
Preferred
Experience in a lead or supervisory role preferred
Benefits
Competitive pay
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules