Outpatient Trainer
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Job Description
Outpatient Trainer improving outpatient coding audit quality at EXL Health, a data analytics and digital operations company. Delivering targeted training, mentoring coders, and analyzing audit trends.
Responsibilities:
- Deliver onboarding training for new outpatient coders and refresher training for tenured coders
- Develop and maintain medical coding and billing training content and modules, including ICD-10-CM, CPT, E/M coding, Business of Medicine, edit resolution, and revenue cycle concepts
- Analyze coding errors and audit trends to identify root causes and deliver targeted training or remediation
- Mentor outpatient coders and provide coaching and performance feedback
- Conduct quality reviews related to initial audits and appeals to support training insights and skill reinforcement
- Identify opportunities beyond standard audit findings that may result in additional recoveries and incorporate learnings into training
- Maintain current knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines
- Track and consolidate learner performance data from quizzes, exams, and assessments
- Present summarized learner-performance insights during weekly meetings
- Perform responsibilities in accordance with company compliance, information security, and regulatory requirements
- Perform other duties as assigned
Requirements:
- Bachelor’s degree or equivalent
- CCS or CPC certified
- Minimum 5 years coding experience in professional or hospital coding
- Thorough understanding of ICD-10 coding, HCPCS/CPT coding systems, Medicare OPPS, and APC
- Experience with and expertise in Medicare LCD and NCD
- Demonstrated training facilitation skill, including instructor-led, virtual, and blended training for adult learners
- Strong knowledge of outpatient clinical coding, including CPT, ICD-10-CM, modifiers, and documentation requirements
- Proficiency in modifier application following Medicare and NCCI guidelines
- Ability to code complex outpatient services, including interventional radiology, ambulatory surgery, emergency room, and observation
- Ability to explain complex coding guidelines and audit concepts clearly and practically
- Strong communication and facilitation skills for engaging learners and managing virtual group dynamics
- Analytical skills to identify knowledge gaps, recurring errors, and training opportunities from audit trends
- Ability to collaborate with Quality, Audit, and SME partners in a remote environment
- Strong organizational and time-management skills
- Comfort using virtual meeting platforms, LMS, and MS Teams
- Personal computer skills required
- Experience with Excel, PowerPoint, Outlook, and Word
- A brief coding/auditing assessment may be included in the interview process
Benefits:
- Exciting, fast-paced, and innovative environment
- Opportunity to work closely with experienced healthcare consultants
- Exposure to many aspects of clients’ businesses
- Teamwork and time-management development opportunities
- Mentoring program with guidance/coaching from a senior-level advisor
- Growth and development opportunities
- 100% remote work
- Up to 10% annual travel for team meetings and limited client onsite engagements
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