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A national managed care organization is expanding its clinical coding quality and education programs — and this senior‑level role sits at the center of that mission. You’ll lead inpatient coding audits, develop training programs, and partner with clinical teams to improve accuracy and compliance across a 28‑million‑member population.
This is a hands‑on, high‑impact role for an RN who thrives in audit, education, and continuous improvement.
What You’ll Do
Develop, maintain, and execute complex inpatient coding audit processes
Conduct inpatient coding audits and review medical necessity against guidelines
Design and deliver clinical coding education and training programs
Identify training gaps and recommend targeted education solutions
Partner with staff to resolve audit findings and improve coding accuracy
Present audit results, trends, and recommendations to leadership
Maintain training records and documentation
Support updates to policies, procedures, and workflows
Travel to New York twice per year for onsite meetings
What You Bring
Registered Nurse (RN) with an active state license
Bachelor’s degree in Nursing (or related clinical field with equivalent experience)
4+ years of experience in nursing, training, or auditing in a managed care setting
Inpatient coding audit experience
Current coding certification : CPC, CIC, or CCS
1+ year of inpatient clinical experience
Strong written communication skills
Nice to Have:
Experience as a lead, trainer, or supervisor
Experience developing training materials or audit tools
Additional Details
Bonus eligible (8%)
No relocation or sponsorship available
Fully remote with limited travel (2x/year)
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