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EXL

EXL is a global company providing business process solutions engineered to help companies streamline operations, simplify compliance, prepare for change, and cr

Diagnosis-Related Group Trainer

Location

United States

Posted

9 days ago

Salary

$60.1K - $110K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Diagnosis-Related Group Trainer

EXL

• 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.

Job 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

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