Company Description
CRD Careers is a boutique recruitment agency specializing in Sales and HR placements.
We connect growth-minded companies with high-impact professionals who drive real results. Whether you're building a team or building a career, our approach is precise, people-first, and built for long-term success.
We don’t do buzzwords—we do outcomes.
Job Description
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
Qualifications
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 Information
Additional Details
• Bonus eligible (8%)
• No relocation or sponsorship available
• Fully remote with limited travel (2x/year)
• Compensation: USD65000 - USD120000 - yearly
Apply Now
Apply Now