Diagnosis-Related Group Trainer

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EXL

WebsiteLinkedInAll Job Openings

10,000+ employees

💰 $2M Venture Round on 2015-01

Choosing a digital partner is about more than capabilities — it’s about collaboration and character.

📋 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