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E&M Trainer

Open 27d

Summary

Develops and delivers medical coding training (ICD-10, CPT, HCPCS) to new and existing coders, ensuring compliance with healthcare regulations like HIPAA and Medicare rules.

Key Responsibilities:

Training Development & Delivery:

    • Develop comprehensive training materials, including manuals, slides, and quizzes, to support medical coding education.
    • Conduct hands-on training for new coders, covering essential coding systems (ICD-10, CPT, HCPCS), coding software, and billing procedures.
    • Provide refresher courses and ongoing education for current coders to ensure they are up-to-date with the latest coding guidelines and regulations.
    • Utilize various teaching methods such as lectures, workshops, webinars, and e-learning modules to accommodate different learning styles.

Trainer for Coding Accuracy & Compliance:

    • Ensure all trainees and coders understand and adhere to current coding standards, including HIPAA compliance, Medicare and Medicaid rules, and payer-specific requirements.
    • Monitor and assess coder performance through coding audits, assessments, and practical evaluations.
    • Provide one-on-one coaching and mentoring to coders, addressing areas of difficulty and improving coding accuracy and productivity.
    • Facilitate problem-solving sessions to resolve complex coding issues.

Ongoing Support & Troubleshooting:

    • Act as a point of contact for coders who need assistance with coding queries, case reviews, and technical troubleshooting.
    • Offer continuous support to coders, answering questions related to coding guidelines, regulatory changes, and coding best practices.
    • Stay current on updates to ICD-10, CPT, HCPCS codes, and other relevant coding systems to ensure that all coders are working with the most up-to-date information.

Quality Control & Performance Monitoring:

    • Conduct regular audits of coder work to ensure the accuracy of code selection, proper documentation, and adherence to payer policies.
    • Provide detailed feedback to coders and supervisors on coding accuracy, compliance, and areas for improvement.
    • Review and analyze coding errors to identify trends and root causes, implementing corrective actions as needed.

Documentation & Reporting:

    • Track and document coder progress through training sessions, assessments, and audits.
    • Prepare reports on coder performance, training outcomes, and areas for improvement for management.
    • Maintain records of training activities, certifications, and compliance with industry standards.

Continuous Learning & Industry Updates:

    • Attend workshops, webinars, and conferences to stay informed about the latest coding trends, regulatory changes, and software tools.
    • Incorporate new coding standards, changes in healthcare policies, and industry updates into training materials and programs.
    • Share insights with team members to foster a culture of continuous learning.

Collaborate with Team Members:

    • Work closely with coding supervisors, managers, and other departments to ensure that training programs align with organizational needs and compliance requirements.
    • Participate in team meetings to provide feedback and collaborate on process improvements for training and coding operations.

Qualifications:

Education and Experience:

    • High school diploma or equivalent; an Associate’s or Bachelor’s degree in Health Information Management, Medical Billing and Coding, or a related field is preferred.
    • Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA is required.
    • A minimum of 6 years of experience in medical coding, with at least 2 years of experience in a training or mentoring role.
    • Experience with medical coding software and electronic health record (EHR) systems is highly desirable.

Knowledge and Skills:

    • Strong knowledge of ICD-10, CPT, HCPCS coding systems, and medical terminology.
    • In-depth understanding of federal and state healthcare regulations, including HIPAA, Medicare, and Medicaid coding requirements.
    • Proven ability to design, develop, and deliver effective training programs.
    • Excellent verbal and written communication skills, with the ability to explain complex topics in simple terms.
    • Strong organizational skills and the ability to manage multiple tasks or projects simultaneously.
    • Ability to work with diverse teams and provide constructive feedback to improve performance.




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