Role Description We are seeking a versatile and highly skilled Payment Training Manager to join our dynamic Payment Integrity team. This critical role translates Quality Control (QC) feedback and concept development insights into actionable high-impact training programs for our medical audit team to drive accuracy and reduce variance. The ideal candidate is self-motivated, thrives in a remote and fast-paced environment, and is committed to precision, compliance, productivity, and continuous learning within a high-growth organization. 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. Qualifications - 8+ years of overall experience in medical coding, claims auditing, payment integrity, or healthcare reimbursement. - Expert knowledge of CPT, HCPCS, ICD-10-CM, modifiers, medical necessity, and reimbursement methodologies. - Deep understanding of outpatient claims coding and auditing for Commercial, Marketplace, Medicare, and Medicaid lines of business. - Hands-on experience reviewing programs such as HCD, DME, SNF, HH, E&M, Surgery, ASC, Observation, ER, and Infusion claims. - Excellent written and verbal English communication skills with ability to deliver clear feedback and training. - Proficiency in instructional design tools i.e., PowerPoint, Google Slides. - Self-motivated and able to work independently in a remote environment while maintaining high performance. - Strong time management, organization, and attention to detail. - Commitment to collaboration, coaching, continuous learning, and process improvement. - Possess CCS (Certified Coding Specialist) credentials. Requirements - Nice-to-haves: - RHIA or RHIT credential. - Experience using CMS NCDs/LCDs, payer bulletins, and clinical criteria guidelines. - Prior training and education experience. - Experience in a high-growth environment with ability to adapt quickly. - Familiarity working with diverse, global teams. - Strong computer skills and experience working in Mac environments. - Experience with reporting tools, dashboards, and data-driven quality improvement initiatives. Benefits - 💻 Fully remote opportunity with about 5% travel - 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program - 📈 401K retirement plan with company match; flexible spending and health savings account - 🏝️ Flex Time Off + company holidays - 👶 Up to 14 weeks of paid parental leave - 🐶 Pet insurance Interview Process - Connect with Talent Acquisition for a Preliminary Phone Screening - Meet your Hiring Manager! - Behavioral Interview - *Subject to change