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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in outpatient coding and training facilitation, with a strong focus on ICD-10-CM, CPT, and Medicare guidelines. Capable of developing effective training content and delivering it to diverse adult learners in various formats.
Highest-signal resume keywords
ICD-10-CM CodingCPT CodingCCS CertificationTraining FacilitationMedicare Guidelines
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Outpatient CodingMedical Documentation ReviewModifier ApplicationCoding Guideline ApplicationAudit ConsistencyCoding AccuracyPerformance SupportKnowledge Gap AnalysisComplex Outpatient Services CodingAmbulatory Payment Classification
Soft Skills
Strong Communication SkillsEngagement SkillsOrganizational SkillsTime-Management SkillsAnalytical Skills
Tools & Technologies
Learning Management SystemVirtual Meeting PlatformsMS TeamsExcelPowerPointOutlookWord
Certifications & Qualifications
CCSCPC
Industry Keywords
Medicare Local Coverage DeterminationsNational Coverage DeterminationsOutpatient Audit ProgramAmbulatory SurgeryInterventional RadiologyEmergency Room CodingObservation CodingMedicare Outpatient Prospective Payment System
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- Up to 10% annual travel
- Exciting, fast paced, and innovative environment
- Guidance/coaching through our mentoring program
- Opportunities for personal and professional growth
