Description

What You’ll Do:

  • Translate complex clinical and coding audit concepts into structured training modules.
  • Partner with QC Analyst to isolate systemic auditor knowledge gaps.
  • Convert QC error trends into targeted, remedial education updates.
  • Work with Concept Developers to build training for new audit ideas.
  • Conduct live virtual training sessions and workshops for auditing staff.
  • Measure training impact by tracking post-education QC accuracy scores.
  • Build interactive training materials for both onboarding and continuous learning.
  • Provide clear, constructive, and actionable feedback to auditors to improve quality, productivity, and decision-making accuracy.
  • Drive adoption and effective utilization of Cohere Validate, the internal audit support tool, while providing actionable feedback and enhancement recommendations to improve functionality and audit efficiency.
  • Demonstrate flexibility in using integrated audit technologies, including Encoder, Grouper, and Pricer tools within the internal auditing platform.
  • Stay ahead of industry trends, coding changes, and payment policy updates to maintain expert-level knowledge.
  • Adhere to HIPAA and company policies to ensure data privacy, security, and regulatory compliance.

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