Senior Clinical Coding Auditor & Trainer (RN Required)
Bright Vision Technologies is a forward-thinking software development company dedicated to building innovative solutions that help businesses automate and optimize their operations. We leverage cutting-edge technologies to create scalable, secure, and user-friendly applications. As we continue to grow, we’re looking for a skilled Nurse Manager II, Hospital to join our dynamic team and contribute to our mission of transforming business processes through technology. This is a fantastic opportunity to join an established and well-respected organization offering tremendous career growth potential. Job Title: Senior Clinical Coding Auditor & Trainer (RN Required) Location: Remote (US-based) – Travel to New York required twice per year Job Type: Full-Time
About the Role
The Senior Clinical Coding Auditor & Trainer is responsible for developing, conducting, and analysing inpatient clinical coding audits and training programs. This role supports Fidelis Care by ensuring coding accuracy, medical necessity compliance, and ongoing staff education. This position is primarily remote. Candidates must be willing to travel to New York up to twice annually.
Key Responsibilities
- Develop and maintain complex inpatient coding audit processes and tools
- Conduct inpatient coding audits and review medical necessity guidelines
- Design and deliver clinical coding education for new and existing staff
- Identify training needs and develop appropriate learning materials and aids
- Audit staff performance, identify errors, and collaborate on corrective actions
- Present audit findings and improvement recommendations to leadership
- Evaluate training effectiveness and recommend enhancements
- Research and recommend internal and external training programs
- Maintain detailed records of training activities and employee progress
- Assist with policy, procedure, and workflow revisions related to inpatient coding
- Travel as required
Highly Preferred Qualifications
- Inpatient coding experience with active CPC, CIC, or CCS certification
- Minimum 1 year of clinical experience in a hospital setting
- Active nursing license (required)
- Strong written and verbal English communication skills
Education & Experience
- Bachelor’s degree in Nursing or a related clinical field, or equivalent experience
- 4+ years of experience in nursing, training, or auditing within a managed care or healthcare setting
- Prior lead or supervisory experience preferred
Licenses & Certifications
- Current state Registered Nurse (RN) license
- Valid driver’s license may be required for certain positions
Equal Opportunity Statement Centene is an Equal Opportunity Employer committed to diversity and inclusion. All qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws, including the California Fair Chance Act and LA County Ordinance. Would you like to know more about this opportunity? For immediate consideration, please send your resume to [email protected] or contact us at (908) 650-6382 ext. At Bright Vision Technologies, we are committed to equal employment opportunities and fostering an inclusive work environment. If you require accommodations during the recruitment process, please let us know. Equal Employment Opportunity (EEO) Statement Bright Vision Technologies (BV Teck) is committed to equal employment opportunity (EEO) for all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, veteran status, or any other protected status as defined by applicable federal, state, or local laws. This commitment extends to all aspects of employment, including recruitment, hiring, training, compensation, promotion, transfer, leaves of absence, termination, layoffs, and recall. BV Teck expressly prohibits any form of workplace harassment or discrimination. Any improper interference with employees' ability to perform their job duties may result in disciplinary action up to and including termination of employment. Powered by JazzHR Remote About the Company: Bright Vision Technologies Apply tot his job Apply To this Job