Clinical Training Specialist (RN)

The role

The Clinical Training Specialist designs, develops, and delivers post acute training programs for clinical audit staff. This role focuses on Inpatient Psychiatric Facility, Inpatient Rehabilitation Facility, Home Health, and DME claims.

What you will do

• Design, build, and maintain training curricula for clinical audit nurses and associates.
• Develop training programs, job aids, reference materials, and assessment tools.
• Translate clinical, regulatory, and payer-specific requirements into training content.
• Maintain and update training materials to reflect changes in CMS rules and coding guidelines.
• Build and manage training content within a Learning Management System.
• Plan, coordinate, and deliver training in 1:1, small group, and virtual classroom formats.
• Track and report training completion, assessment scores, and performance metrics.
• Identify training gaps through QA results and audit performance data.
• Conduct User Acceptance Testing on new audit platform workflows.
• Deliver training on new client implementations and updated audit concepts.

Required qualifications

• Active, unrestricted nursing license in good standing
• Not sanctioned or excluded from the Medicare program by OIG
• Bachelor’s degree in Nursing, Health Information Management, Education, or a related field
• 3+ years of direct experience performing medical record audits in post acute claims (IPF and/or IRF, Home Health, DME claims)
• 3+ years of experience developing and delivering clinical or healthcare training programs with documented, measurable outcomes
• Remote learning delivery required

Nice to have

• Master’s degree in Nursing, Education, Health Informatics, or a related field
• AHIMA or AAPC coding certification (CPC, CCS, CCS-P, RHIT, or equivalent)
• Direct clinical experience in an inpatient psychiatric or inpatient rehabilitation setting
• Clinical background in inpatient psychiatric nursing
• Clinical background in inpatient rehabilitation nursing
• Experience with mental health parity compliance review or behavioral health utilization management
• Prior experience in a RAC, MAC, TRICARE, or commercial payer audit environment
• Experience conducting User Acceptance Testing on audit platform or reporting system enhancements
• Experience contributing to provider education, audit edit development, or medical policy improvement

About the company

Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. It uses an AI-powered platform to maximize financial outcomes and drive down healthcare costs.