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Medical Coder

Medical Coder

TalentPlug LLCNew York, NY, US
1 day ago
Job type
  • Full-time
Job description

Job Description

Primarily remote with 10% travel expectation (twice a year to New York City office)

Position 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 for Fidelis Care and assist in development of training and audit tools.
  • 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.

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
  • Education / Experience :

  • 4+ years of experience in nursing, training, or auditing in a managed care healthcare setting.
  • Experience in a lead or supervisory role preferred.
  • License / Certification :

  • Current state nursing license.
  • Driver’s license may be required for certain positions.
  • Must-haves

  • 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).
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    Medical Coder • New York, NY, US

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