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Senior Clinical Coding Auditor

4 weeks ago


Dutchess County, United States Aquent Full time

Overview Placement Type: Permanent Salary: $68,700-123,700 Salary $68,700 - $123,700 Start Date: 12.05.2025 Senior Clinical Coding Auditor & Trainer - Primarily remote with 10% travel expectation (twice a year to New York City office) This is an exciting opportunity to join a leading national organization dedicated to transforming community health, one person at a time. You will be a vital force in ensuring the highest standards of clinical coding accuracy and training, directly impacting the quality of care for millions of members. As a key contributor, you will leverage your expertise to shape audit processes, develop comprehensive training programs, and elevate the capabilities of our clinical coding teams, making a tangible difference in our mission to improve health outcomes. About the Role We are seeking a highly skilled and passionate professional to take on a pivotal role in developing, conducting, administering, and analyzing clinical coding training and auditing programs. In this position, you will be instrumental in maintaining the integrity of our inpatient coding processes and fostering continuous learning within our teams. Your work will directly contribute to the operational excellence and compliance of our healthcare services, ensuring that our members receive the best possible care. What You'll Do Develop and maintain complex audit processes and tools specifically for inpatient coding. Design and deliver engaging clinical education courses for both new and existing employees. Conduct thorough audits of established guidelines for medical necessity. Analyze training needs, then identify, select, or develop appropriate training programs, including aids and materials. Audit staff performance against established processes, collaborating with them to identify and resolve errors, and presenting findings and recommendations to management. Evaluate the effectiveness of training programs to ensure optimal outcomes. Research, analyze, and recommend internal and external training programs to enhance our capabilities. Maintain meticulous records of training activities and employee progress. Assist in the revision of Policy and Procedure documents and the development of new work processes for inpatient coding. What You'll Bring Bachelor's degree in Nursing, a related clinical field, or equivalent experience. Current state nursing license. Valid and current CPC, CIC, or CCS Certification demonstrating inpatient coding expertise. A minimum of 4 years of experience in nursing, training, or auditing within a managed care healthcare setting, with a strong focus on inpatient coding auditing. At least 1 year of clinical experience in a hospital setting. Strong written English communication skills, enabling clear and effective documentation and training. Nice-to-Haves Experience in a lead or supervisory role. Compensation The target hiring compensation range for this role is $68,700.00 - $123,700.00 per year. This role is also eligible for an 8% performance bonus. About Aquent Talent: Aquent Talent connects the best talent in marketing, creative, and design with the world's biggest brands. Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. More information on our awesome benefits Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We're about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive. The target hiring compensation range for this role is $68,700 to $123,700.00/yr. Compensation is based on several factors, including, but not limited to, education, relevant work experience, relevant certifications, and location.