Job Title : Clinical Coding Auditor & Trainer - Remote
Pay Range : $55,100.00 - $99,000.00 per year
Job type : Full Time Permanent
Industry Experience : Healthcare, specifically in a hospital or managed care setting
Job description :
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose :
Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care.
Responsibilities :
- Conducts auditing of work performed by staff and present findings and recommendation for areas of improvement to management
- Under minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality and / or ingenuity
- Assists with revisions to Policy and Procedure and / or work process development
- Conducts training needed analysis to determine specific training needs for clinical and coding staff
- Identifies, selects, or develops appropriate training programs, including the selection or design of appropriate training aids
- Maintains records of auditing and training activities and employee progress
- Performs other duties as assigned
- Complies with all policies and standards
Key Qualification :
Inpatient Coding ExperienceAt least 1 year of clinical experience in a hospital settingRN, PA, MD, APRN, DO license - PreferredStrong written communication skillsEducation / Experience :
Associate's degree in Nursing or equivalent experience.4+ years of DRG and / or Medical Record Audit experience.One year of experience in a clinical setting or acute care hospital.Training or auditing experience in a managed care or healthcare setting.Preferred License / Certification :
Valid / Current CPC or CIC Certification, through APPC desired.or
CCS through AHIMA desired.or
RHIA / RHIT Credentials desired.