Trainer-Auditor

Fidelis Care - New York; New York (NY); Remote; USD 55,000 - 99,000; Full time

Job summary

A leading healthcare provider seeks a Trainer-Auditor to develop and conduct training and auditing programs for clinical operations. This fully remote role requires periodic travel to New York, offering competitive pay and benefits. Candidates should have relevant experience in auditing and medical coding, along with necessary healthcare licenses. This position plays a critical role in enhancing training quality and staff performance.

Benefits

Comprehensive benefits package

Flexible work schedules

Paid time off plus holidays

Tuition reimbursement

Qualifications

• 4+ years of DRG and/or Medical Record Audit experience.
• One year of experience in a clinical setting or acute care hospital.
• Training or auditing experience in a managed care or healthcare setting.

Responsibilities

• Conduct audits of work performed by staff and present findings.
• Identify training needs and develop training programs.
• Maintain records of auditing and training activities and employee progress.

Skills

Inpatient Coding Experience

Strong written communication skills

Education

Associate’s degree in Nursing

Valid RN, PA, MD, APRN, DO or MBBS license

Job description

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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 and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care.

***The Trainer-Auditor 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

• Conducts auditing of work performed by staff and present findings and recommendation for areas of improvement to management
• Under minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality and/or ingenuity
• Assists with revisions to Policy and Procedure and/or work process development
• Conducts training needed analysis to determine specific training needs for clinical and coding staff
• Identifies, selects, or develops appropriate training programs, including the selection or design of appropriate training aids
• Maintains records of auditing and training activities and employee progress
• Performs other duties as assigned
• Complies with all policies and standards
  
  

Highly Preferred Skills

• Inpatient Coding Experience
• At least 1 year of clinical experience in a hospital setting
• RN, PA, MD, APRN, DO or MBBS license required
• Strong written communication skills
  
  

Education/Experience Associate’s degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. One year of experience in a clinical setting or acute care hospital. Training or auditing experience in a managed care or healthcare setting.

Required License/Certification RN, PA, MD, APRN, DO or MBBS license required

Preferred License/Certification Valid/Current CPC or CIC Certification, through APPC desired or CCS through AHIMA; RHIA/RHIT Credentials desired.

Pay Range $55,100.00 - $99,000.00 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

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Education and Training

• Industries

  Hospitals and Health Care and Insurance

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