Source Job

US

  • Design, develop, and deliver comprehensive training programs for clinical audit staff specializing in IPF and IRF claims. - Serve as the primary subject matter authority for IPF and IRF audit training, including medical necessity criteria, payment rules, and documentation standards. - Partner with operations, QA, and compliance to align training programs with business objectives and client requirements.

Clinical Documentation Instructional Design LMS Management Adult Learning

20 jobs similar to Training Specialist, Medical Review Audit – Clinical RN

Jobs ranked by similarity.

  • Serves as a subject matter expert in clinical documentation quality, risk adjustment, and HCC coding integrity.
  • Performs prospective reviews of medical records to validate chronic conditions and ensure documentation accuracy.
  • Utilizes Epic and OurPractice Advisories to support accurate coding, HCC capture, and compliance.

UASI is a clinical documentation improvement consulting firm dedicated to improving the quality and accuracy of clinical documentation. They offer a collaborative, mission-driven environment with opportunities for professional growth.

US

  • Facilitate live training and remediation for Patient Experience and Patient Coordinator teams.
  • Build and maintain eLearning modules and content in the LMS using AI tools.
  • Track training metrics, coach agents, and collaborate with cross-functional teams to close performance gaps.

Natera is a global leader in cell-free DNA testing, dedicated to oncology, women’s health, and organ health. The team consists of highly dedicated professionals from world-class institutions, working together to change the landscape of genetic disease management.

$70,000–$80,000/yr
US

  • Design and deliver comprehensive training programs for new Enrollment Specialists.
  • Lead live virtual training sessions and provide ongoing coaching to improve team performance.
  • Collaborate with cross-functional teams to identify training needs and enhance enrollment processes.

Thyme Care is a cancer care navigation company that enables value-based cancer care. The company is building a diverse team of problem solvers focused on transforming the cancer care experience.

$85,000–$100,000/yr
US

  • Conduct Skilled Nursing Facility medical claims audit reviews applying medical review guidelines.
  • Document findings and generate articulation letters for audit results.
  • Collaborate with audit team and clients to improve medical policies and workflows.

Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. Deployed by over 85 health plans representing more than 270 million lives, the company uses an AI-powered platform and best-in-class expertise to reimagine healthcare.

$80,000–$92,000/yr
US 18w maternity 16w paternity

  • Develop clinical content and training materials using modern engagement and instructional design techniques.
  • Deliver high-quality clinical trainings in an engaging and impactful manner, both virtually and in person.
  • Partner with customers and internal stakeholders to identify and address specific training needs.

Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. With over 170 million people reached through their AI-native platform, they foster a culture of innovation and inclusivity.

US

  • Facilitate and provide detailed analysis, reporting, training, and support for providers and care teams to promote accurate clinical documentation.
  • Develop and implement targeted training curriculums and lead educational sessions for providers.
  • Conduct regular chart audits to identify patterns and opportunities for improved documentation.

CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, and virtual care services. They are a large healthcare organization committed to building healthy communities and advocating for the poor and vulnerable.

US

  • Develop and maintain training content (ILT and CBT) for clinical operations in a remote telehealth environment.
  • Facilitate virtual new hire, refresher, and upskill training with a focus on adult learning principles.
  • Partner with operations leaders to align training with business needs and drive continuous improvement.

CareTalk Health is a fully remote virtual medical practice that partners with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps. They are a growing telehealth organization with a collaborative, cross-functional team environment.

US

  • Develop and deliver training on clinical and operational workflows within electronic health records, focusing on WellSky.
  • Create training materials and documentation to support end-user adoption and regulatory compliance.
  • Perform business analysis by gathering requirements, mapping workflows, and identifying gaps to improve system use.

PAM Health provides specialty healthcare services through more than 80 locations across 17 states, including wound clinics and outpatient physical therapy. The company fosters a collaborative environment with opportunities for professional growth, competitive pay, and generous benefits.

US

  • Design and deliver engaging training curriculum for new hires, focusing on job roles and cultural integration.
  • Assess ongoing training needs and provide feedback to managers on team performance.
  • Ensure compliance with state laws and regulations while fostering collaboration and career development.

Nasium Training, LLC is the workforce development subsidiary of UMA Education, Inc., offering short, unaccredited healthcare training to employer partners. As part of a nonprofit organization with over 80,000 alumni since 1994, they foster a culture of wellness and professional growth.

$63,500–$63,500/yr
UK

  • Design and develop impactful clinical training materials for Functional Assessors within the Health Assessment Advisory Service.
  • Transform complex clinical concepts into clear, engaging learning resources including e-learning modules, case studies, and competency assessments.
  • Collaborate with clinical peers, research evidence-based guidance, and contribute to the annual Training Needs Analysis (TNA).

Ingeus is a leading human services provider helping people, business and communities thrive through employment, skills and health & wellbeing services. They are a trusted partner to government and industry delivering services that create positive social impact and transform lives.

US

  • Serve as the primary client relationship lead, ensuring alignment on goals, scope, deliverables, and outcomes.
  • Provide OP HCC CDI subject matter expertise and oversee project execution, quality, and client satisfaction.
  • Monitor project performance, manage risks and scope changes, and ensure successful delivery of contracted services.

UASI improves the quality and accuracy of clinical documentation through expert CDI consulting. We are a growing team with a collaborative, mission-driven environment that values continuous learning and professional growth.

US

  • Ensure quality and completeness of medical record documentation through concurrent interaction with physicians and staff.
  • Facilitate modifications to clinical documentation to support accurate reimbursement and severity capture for inpatients.
  • Educate patient care team members on documentation best practices and support timely, accurate reporting.

Cooper University Health Care is a healthcare organization dedicated to providing extraordinary care through clinical innovation and advanced facilities. It offers a comprehensive benefits program and opportunities for career growth, with a team-oriented culture.

US Unlimited PTO

  • Support assigned payer client implementations through prescriptive workflow execution and system build input.
  • Deliver end-user and super-user education using adult learning principles.
  • Monitor standard KPIs and review dashboards to identify adoption or utilization concerns.

We are an AI-driven technology company reducing administrative waste in healthcare by enabling smarter collaboration between providers and payers. Since 2013, we have grown to be recognized on the Inc. 5000 and Deloitte Technology Fast 500 lists, and we are one of the fastest-growing privately-held companies in the country.

US

  • Develop and maintain training curricula for Epic applications and other software to support user understanding.
  • Build, test, and maintain the Epic training environment to meet workforce education needs.
  • Provide guidance and mentoring for credentialed trainers and collaborate with training and application build leadership.

Grady Health System is a leading public health system providing compassionate, patient-centered care to Atlanta and beyond for over 125 years. It is a large organization with a team of dedicated professionals committed to innovation, diversity, and collaboration.

Europe

  • Partner with subject matter experts to assess training needs and design effective learning solutions.
  • Coordinate new hire onboarding and deliver instructor-led, virtual, and e-learning programs.
  • Manage learning platforms, maintain training records, and collaborate with functional leadership on role-based curricula.

Precision for Medicine is the first global precision medicine clinical research services organization, purpose-built to improve the clinical research and development process for new therapeutics. The company integrates clinical operations excellence, laboratory expertise, and advanced data sciences to inform every step of clinical research.

$60,000–$68,000/yr
US Unlimited PTO 12w maternity 12w paternity

  • Own the creation, revision, and maintenance of documentation and training materials across support channels.
  • Build and maintain courses in our LMS, manage enrollments, and package training materials for BPO partners.
  • Write and maintain Zendesk macros and Help Center articles with the accuracy and structure required for AI-assisted resolution.

Branch is on a mission to empower workers with financial freedom by helping companies accelerate payments and providing accessible financial services. As a remote-first company with employees across the US, Branch fosters a collaborative culture built on transparency, accountability, and trust.

US

  • You will act as a client-facing learning consultant, designing and facilitating in-person, virtual, and hybrid courses for highly technical and regulated environments.
  • You will apply your expertise in how people learn to create solutions that enable audiences to continuously develop skills and perform confidently.
  • Your work targets two primary learner audiences: S&L personnel within the Nuclear Power Group and external clients in the nuclear industry.

Sargent & Lundy is an engineering and design firm specializing in nuclear power and energy infrastructure. They are a large organization with a collaborative culture and award-winning benefits, emphasizing employee well-being and professional development.

$65,000–$116,747/yr
US

  • Lead and mentor CDI team members to drive documentation excellence and quality outcomes.
  • Support CDI program operations including policy implementation, education, and compliance monitoring.
  • Perform clinical documentation reviews to ensure accuracy of patient severity, quality, and reimbursement.

R1 is a leading provider of technology-driven solutions transforming patient experience and financial performance of hospitals and health systems. With over 20 years of experience, the company partners with 1,000 providers and handles over 270 million payer transactions annually, fostering a collaborative and innovative culture.

$109,500–$175,000/yr
US

  • Serves as a clinical subject matter expert supporting the commercial deployment of Bruker’s Sepsis solution.
  • Engages with Antimicrobial Stewardship Committees and clinical pharmacy teams to demonstrate clinical, operational, and economic value.
  • Educates Bruker sales and application staff on antimicrobial stewardship and develops clinically focused training modules.

Bruker is a world-leading analytical instrumentation company developing state-of-the-art technologies and innovative solutions. With over 11,000 employees worldwide across 90 locations, they are committed to meeting customer needs and advancing scientific analysis.

US 3w PTO

  • Audit outpatient and specialty claims to ensure coding accuracy, clinical validity, and medical necessity.
  • Utilize advanced coding knowledge and audit tools to identify billing issues and document findings.
  • Meet productivity and quality standards while recommending process improvements and new claim types.

Cotiviti is a healthcare analytics and auditing company that focuses on improving claims accuracy and reducing costs for clients. They are a mid-to-large sized employer with a culture that emphasizes quality, collaboration, and innovation in healthcare auditing.