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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)