Diagnosis-Related Group Trainer

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🕒 July 2

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EXL

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

📦 Logistics

💰 $2M Venture Round on 2015-01

Healthcare • Insurance • Logistics

EXL is a business consulting and services firm that focuses on leveraging data to enhance business operations and decision-making. With a strong emphasis on collaboration and adaptability, EXL partners with organizations to address their unique needs and culture while integrating data science and technology solutions. The company's areas of expertise include operations management, decision analytics, digital transformation, and various industries such as healthcare, finance, and insurance. EXL's mission is to help clients drive business evolution and maintain competitive advantage through tailored solutions and effective use of data.

📋 Description

• Deliver onboarding training for new DRG auditors and refresher training for tenured auditors. • Develop and maintain training content and modules related to medical coding and billing, including ICD-10-CM, CPT, and HCPCS • Evaluate training effectiveness; analyze coding audit errors and audit trends to identify root causes and deliver targeted training or remediation. • Mentor DRG auditors and provide coaching and performance feedback as needed. • Conduct quality reviews related to initial audits and appeals in order 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, and present summarized insights during weekly meetings. • Perform all responsibilities in accordance with company compliance, information security, and regulatory requirements. • Perform other duties as assigned.

🎯 Requirements

• Bachelor’s degree or equivalent • RHIT or RHIA certification required • CCS or CPC certification required • 5 plus years relevant DRG and APR DRG coding/auditing experience • 3 plus years of experience in training, facilitation, or coaching within a coding, audit, or payment integrity setting • Experience with Medicare Local Coverage Determinations (LCD) and National Coverage Determinations (NCD) • Experience in coding audit, quality review, or payment integrity programs • Experience delivering training, coaching, or mentoring new hires and/or tenured staff

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development • Bonuses