Outpatient 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

• Plays a critical role in improving audit consistency, accuracy, and completeness by translating audit outcomes into effective learning experiences. • Supports the Outpatient Audit program by delivering and reinforcing training to improve coding accuracy and audit quality in alignment with EXL standards. • 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. • Partners closely with Quality Analysts, Auditors, and Subject Matter Experts to ensure training content reflects current outpatient coding requirements and audit expectations. • Conducts onboarding training for new outpatient coders and refresher training for tenured coders. • Develops and maintains training content and modules related to medical coding and billing, including ICD-10-CM, CPT, E/M coding.

🎯 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 • Exciting, fast paced, and innovative environment • Guidance/coaching through our mentoring program • Opportunities for personal and professional growth