Payment Training Manager (Healthcare)

TL;DR

Payment Training Manager (Healthcare): Translating Quality Control feedback and coding concepts into high-impact training programs for medical audit teams with an accent on accuracy and variance reduction. Focus on creating structured training modules, conducting virtual workshops, and optimizing the use of AI-driven audit tools.

Location: Remote (United States)

Salary: $105,000–$118,000

Company

AI-powered clinical intelligence platform optimizing the speed, cost, and quality of healthcare through payment accuracy and prior authorization solutions.

What you will do

• Translate complex clinical and coding audit concepts into structured training modules.
• Partner with QC Analysts to isolate systemic knowledge gaps and convert error trends into remedial education.
• Conduct live virtual training sessions and workshops for auditing staff.
• Build interactive training materials for onboarding and continuous professional development.
• Drive the adoption and effective utilization of Cohere Validate, an AI-driven internal audit support tool.
• Maintain expert-level knowledge of industry trends, coding changes, and payment policy updates.

Requirements

• 8+ years of experience in medical coding, claims auditing, payment integrity, or healthcare reimbursement.
• Expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines.
• CCS (Certified Coding Specialist) credentials required.
• Must be based in the United States.
• Proficiency in instructional design tools such as PowerPoint and Google Slides.
• Excellent written and verbal English communication skills.

Nice to have

• RHIA or RHIT credentials.
• Experience using CMS NCDs/LCDs, payer bulletins, and clinical criteria guidelines.
• Prior professional training and education experience.
• Experience working in Mac environments.

Culture & Benefits

• Fully remote opportunity with minimal travel (approximately 5%).
• Comprehensive health benefits including medical, dental, vision, life, and disability insurance.
• 401K retirement plan with company match, plus FSA and HSA options.
• Flexible Time Off and company holidays.
• Paid parental leave of up to 14 weeks.
• Additional perks including pet insurance and an Employee Assistance Program.

Hiring process

• Preliminary phone screening with Talent Acquisition.
• Interview with the Hiring Manager.
• Behavioral Interview.