Job Description
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We’re seeking an experienced Registered Nurse with a strong background in clinical auditing, coding, and training to join a leading national healthcare organization that’s improving how care is delivered across the U.S. This is a fully remote role (with occasional travel to the Northeast region) where you’ll play a key part in ensuring coding accuracy, compliance, and clinical integrity within inpatient programs.
• Conduct inpatient and outpatient clinical coding audits to ensure compliance and accuracy • Develop and deliver training sessions and educational materials for coding and clinical staff • Evaluate medical records for coding quality and medical necessity • Collaborate with clinical leadership to identify areas of improvement and recommend corrective action • Analyze audit data, create reports, and present findings to management • Maintain and update internal policies, guidelines, and auditing tools • Support onboarding and continuing education initiatives for coding teams Qualifications • Active RN license (multi-state preferred) • Bachelor’s degree in Nursing or equivalent experience • 4+ years of experience in nursing, clinical auditing, utilization management, or coding review • Certification preferred: CPC, CIC, or CCS • Strong working knowledge of ICD-10 coding, InterQual, MCG, and CMS guidelines • Exceptional written communication and analytical skills • Experience in remote and managed care settings Benefits • 100% remote flexibility • Competitive compensation and benefits • Work with a respected national healthcare organization • Opportunity to shape the quality and integrity of clinical programs that impact millions Apply tot his job