Outpatient Training Manager
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Job Description
Outpatient Trainer facilitating training to improve outpatient audit quality and coding accuracy at EXL Health. Collaborating with auditors and subject matter experts to design effective learning experiences.
Responsibilities:
- Translates audit outcomes into effective learning experiences
- Supports the Outpatient Audit program by delivering and reinforcing training to improve coding accuracy and audit quality
- Leverages findings from random and targeted outpatient coding audits to identify learning gaps and deliver targeted training, refreshers, and performance support
- Partners closely with Quality Analysts, Auditors, and Subject Matter Experts to ensure training content reflects current outpatient coding requirements and audit expectations
Requirements:
- Bachelor’s degree or equivalent
- CCS or CPC certified
- Minimum 5 years coding experience: Professional or hospital coding with thorough understanding of ICD-10 Coding; HCPCS/CPT coding systems; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC)
- Experience with Medicare Local Coverage Determinations (LCD) and National Coverage Determinations (NCD)
- Demonstrated skill in training facilitation, including delivering instructor-led, virtual, and blended training to adult learners
- Strong working knowledge of outpatient clinical coding, including CPT, ICD-10-CM, modifiers, and documentation requirements
- Proficient in modifier application following appropriate Medicare and NCCI guidelines
- Ability to code a wide variety of complex outpatient services such as interventional radiology, ambulatory surgery, emergency room and observation
- Strong organizational and time-management skills to manage multiple training initiatives and deadlines
- Comfort using technology-based training and collaboration tools (e.g., virtual meeting platforms, LMS, MS Teams)
Benefits:
- Up to 10% annual travel (for team meetings and limited client onsite engagements)
- Guidance/coaching through a mentoring program
- Opportunities for personal and professional growth
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