Trainer, Quality Analyst III – Behavioral Health

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $60.1k - $80k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 3%

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

• Evaluate Behavioral Health training needs, current practices, and performance trends • Develop and deliver training plans, materials, tutorials, instructions, online modules, guides, and other learning resources • Facilitate training sessions, refresher education, and coaching discussions • Review coding auditors’ accuracy and consistency to ensure audits are appropriately marked for findings and no findings • Provide root cause analysis on errors • Mentor Behavioral Health outpatient coders and provide timely coaching and feedback • Perform quality reviews for initial audits and appeals • Identify potential opportunities for additional recoveries • Recommend process changes to improve quality and performance • Communicate effectively with peers and management • Perform other duties as assigned • Follow company Compliance, Information Security, and Regulatory policies, procedures, and programs

🎯 Requirements

• 5+ years of experience with Behavioral Health services, including mental health and substance use disorder treatment • Preferred credentials: CCS, RHIA, RHIT, CPC, Registered Nurse, or MSW; preference given to candidates with multiple credentials • Superior knowledge of industry standards and regulations related to Behavioral Health • Experience facilitating classroom, virtual, and one-on-one training sessions for coders, auditors, or clinical review teams • Ability to translate complex Behavioral Health coding, audit, and compliance concepts into clear training content • Proficient in BH modifier application following Medicare and NCCI guidelines • Ability to write professional notes quoting Official Coding Guidelines, ICD-10 Coding Handbook, Coding Clinic, and other recognized sources • Excellent verbal and written communication skills • Confident public speaking and presentation skills • Ability to mentor and instruct through audits • Strong organizational skills and attention to detail • Ability to work independently and in a team environment • Flexibility and adaptability • Superior BH auditing and monitoring skills • Excellent decision-making skills and sound judgment • Strong technical knowledge and ability to learn new systems quickly • Ability to complete tasks efficiently and resolve problems within set timelines • Ability to work under deadlines • Independent decision-making skills in varied situations • High degree of accuracy • Personal computer skills, including Excel, PowerPoint, Outlook, and Word • Strong interpersonal skills

🏖️ Benefits

• Remote work / work from home • Up to 10% annual travel for team meetings and limited client onsite engagements • Mentoring program with senior-level professional advisors • Guidance and coaching • Opportunities to work with experienced, world-class Healthcare consultants • Teamwork and time-management development • Growth and development opportunities • Potential compensation above posted range in higher-cost zones such as California, New York, and New Jersey