Outpatient Trainer

🕒 July 31

🇺🇸 United States – Remote

💵 $85k - $90k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 2%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• The Outpatient Trainer plays a critical role in improving audit consistency, accuracy, and completeness by translating audit outcomes into effective learning experiences. • This role supports the Outpatient Audit program by delivering and reinforcing training to improve coding accuracy and audit quality in alignment with EXL standards. • This role leverages findings from random and targeted outpatient coding audits to identify learning gaps and deliver targeted training, refreshers, and performance support focused on medical documentation review and coding guideline application. • The Outpatient Trainer 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 and expertise 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. • Must have the ability to code a wide variety of complex outpatient services such as interventional radiology, ambulatory surgery, emergency room and observation. • Ability to explain complex coding guidelines and audit concepts in a clear, engaging, and practical manner. • Strong communication and facilitation skills, with the ability to engage learners and manage group dynamics in a virtual environment. • Analytical skills to identify knowledge gaps, recurring errors, and training opportunities based on audit trends. • Ability to work collaboratively with Quality, Audit, and SME partners in a cross-functional, remote environment. • 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). • Personal computer skills required. Experience with: Excel, PowerPoint, Outlook, and Word.

🏖️ Benefits

• Up to 10% annual travel • EXL Health offers an exciting, fast paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions. • From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants. • You can expect to learn many aspects of businesses that our clients engage in. • We provide guidance/coaching to every employee through our mentoring program wherein every junior-level employee is assigned a senior-level professional as an advisor. • The sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.