7 senior clinical coding auditor trainer jobs found in New York, NY

Job DescriptionJob DescriptionJob Summary / PurposeThe Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fidelis Care and assist in development of training and audit tools.Location :The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis.Candidates must be willing to travel to New York twice a year to be considered for the position.Pay Range :$68,700.00 - $123,700.00 per yearResponsibilities :Develop and maintain complex audit processes and audit tools related to inpatient codingDevelop and conduct clinical education courses for existing and new employeesAudit established guidelines for medical necessityAnalyze training needs and identify, select, or develop appropriate training programs including training aids and materialsAudit staff in accordance with established auditing processes, work with staff to identify and resolve errors, and present findings and...

Job Description Job Description This is a remote position. We are looking for a Senior Clinical Coding Auditor & Trainer. This position is primarily remote with a small travel expectation on an annual basis. Purpose: Responsible for developing, conducting, administering, and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes and assist in development of training and audit tools. 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...

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 DoDevelop maintain and execute complex inpatient coding audit processesConduct inpatient coding audits and review medical necessity against guidelinesDesign and deliver clinical coding education and training programsIdentify training gaps and recommend targeted education solutionsPartner with staff to resolve audit findings and improve coding accuracyPresent audit results trends and recommendations to leadershipMaintain training records and documentationSupport updates to policies procedures and workflowsTravel to New York twice per year for onsite...

The Opportunity Are you an experienced Inpatient RN ready to step away from the bedside without losing your clinical edge As part of the Centene/Fidelis Care team you will ensure the clinical accuracy of care for 28 million members.This is a high-level auditing and education role designed for nurses who love the puzzle of clinical documentation and the reward of teaching others.Key OutcomesDrive Accuracy:Develop and lead complex inpatient coding audits to ensure medical necessity and documentation excellence.Educate Teams:Design training programs that translate complex clinical data into actionable knowledge for staff.Remote Flexibility:Work primarily from home with only two scheduled trips to New York per year.Qualifications :Requirements (Strictly Enforced)Active RN License:Must be currently licensed.Acute Care Foundation:You must have direct nursing experience in an Inpatient Hospital setting.(Candidates with only outpatient or clinic experience will not be considered for this...

Overview Reviews and audits claims for billing, coding, services and other compliance or reimbursement issues. Assists with non-clinical aspects of the claims review process and acts as a coding resource. Provides training and support to Medical Care at Home Clinicians and staff to provide best practices of claims coding. Applies coding skills to various initiatives to ensure compliance in claims submissions. Works under moderate supervision. What We Provide Per Diem team members are eligible for some benefits and can access our extensive Employee Assistance Program that includes financial, legal, and mental health counseling programs as well as participate in a 403b retirement savings program. What You Will Do Reviews medical claims, records and other requested information for billing, coding and other compliance or reimbursement related issues; makes coding and documentation recommendations for adherence to risk adjustment models. Reviews medical...

Job DescriptionDepartment / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.This position is remote but does require onsite education to providers as needed.This position has remote opportunityThis position requires a CPC Certification - Upon HireTwo years or more prior experience in professional fee coding - requiredEssential...

Job Description The Sterile Processing Department Supervisor continuously assesses activities of SPD Team associated in the processing of reusable medical devices, distribution of procedural supplies, and deployment of patient care equipment. Provides subject matter expertise and evidence-based practice to support the department's operational improvement. The SPD Supervisor assists the assistant manager to evaluate and implement educational programs for the department. Principal Accountabilities: Provides SPD team members (internal and external) with educational support, including needs assessments. Provides standardized education in area of expertise, as well as general education including but not limited to orientation, annual competency assessment, regulatory, accreditation and certification. Develops and communicates a full range of educational and quality monitoring programs to assist SPD Assist Manager/ SPD Manager, Lead Technicians, Sterile Processing...