Senior Clinical Coding Auditor & Trainer

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, 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

Highly Preferred Skills :

Inpatient Coding Experience (valid / current CPC, CIC, or CCS Certification)

At least 1 year of clinical experience in a hospital setting

Nursing license required

Strong written English communication skills

Education / Experience : Bachelor’s degree in Nursing, related clinical field or equivalent 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.

Pay Range : $68,700.00 - $123,700.00 per year

Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act