Registered Nurse Coder Auditor / Clinical Coding Education & Audit Nurse (RN)
Location: Remote (Must be willing to travel to New York twice annually)
Pay Range: $68,700 – $123,700 per year
Schedule: Primarily Remote
Position Purpose
The Clinical Coding Education & Audit Nurse (RN) is responsible for developing, conducting, and analyzing clinical coding training and auditing programs. This role focuses on auditing inpatient coding processes for Fidelis Care and supporting the development of training and audit tools to improve coding quality and compliance.
Key Responsibilities
• Develop and maintain complex audit processes and tools related to inpatient coding.
• Conduct audits of established medical necessity guidelines and inpatient coding accuracy.
• Design, develop, and deliver clinical education and training for new and existing employees.
• Analyze training needs and create effective training programs, materials, and aids.
• Evaluate the effectiveness of training programs and recommend improvements.
• Collaborate with staff to identify and resolve coding errors, presenting findings to management.
• Maintain accurate records of training activities and employee progress.
• Assist in revising policies, procedures, and work processes for inpatient coding.
• Occasional travel required (approximately twice per year to New York).
Qualifications
Education & Experience
• Bachelor’s degree in Nursing, related clinical field, or equivalent experience.
• 4+ years of experience in nursing, training, or auditing within a managed care or healthcare setting.
• Minimum 1 year of clinical experience in a hospital environment.
• Experience in a lead or supervisory role preferred.
Licenses & Certifications
• Current state nursing license required.
• Valid and current CPC, CIC, or CCS certification required.
• Valid driver’s license may be required for certain positions.
Skills
• Strong written and verbal communication skills.
• Proven experience in inpatient coding and clinical auditing.
• Excellent attention to detail and analytical abilities.
• Ability to work independently in a remote environment.
Compensation & Benefits
Centene offers a comprehensive benefits package, including:
• Competitive pay
• Health insurance
• 401(k) and stock purchase plans
• Tuition reimbursement
• Paid time off and holidays
• Flexible remote/hybrid/field work options
Actual compensation is based on skills, experience, education, and other job-related factors. Total compensation may include additional performance-based incentives (eligible for up to 8% performance bonus).
Please Contact: Katherine Skelton
586-710-0022
INDKS
Job Type: Full-time
Pay: $70,000.00 - $123,000.00 per year
Benefits:
• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
Work Location: Remote
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