The Role
Leads training and quality programs for surgery coding and audit teams. Designs curricula based on CPT, ICD-10-CM, and HCPCS guidelines; delivers new-hire and ongoing training; evaluates effectiveness through assessments and performance metrics; partners with auditors, compliance teams, physicians, and subject matter experts; supports coding accuracy, HIPAA and OIG compliance, employee development, reporting, and continuous improvement.
Summary Generated by Built In
- Training Program Management:
- Design, develop, and implement training strategies and programs tailored to surgery coding and coding audit teams.
- Conduct strategic needs analyses to identify skill gaps and develop training plans that address these gaps effectively.
- Develop comprehensive training modules, presentations, and learning materials based on current procedural terminology (CPT), ICD-10-CM, and HCPCS coding guidelines.
- Ensure training materials and processes reflect the latest updates in medical coding standards, payer requirements, and compliance regulations.
- Training Delivery & Facilitation:
- Conduct training sessions (classroom, virtual, or blended) for new hires, existing staff, and auditors on surgery coding concepts, audit standards, and best practices.
- Provide hands-on coding exercises, case studies, and assessments to reinforce learning and evaluate participant understanding.
- Offer ongoing support, mentoring, and guidance to coding professionals to enhance accuracy and productivity.
- Curriculum Development & Evaluation:
- Collaborate with Subject Matter Experts (SMEs), Quality Auditors, and Compliance Teams to ensure accuracy and relevance of training materials.
- Monitor training effectiveness through assessments, performance metrics, and feedback surveys.
- Update and refine training materials periodically to reflect process improvements, audit trends, and regulatory changes.
- Compliance & Quality Assurance:
- Ensure that all training initiatives comply with HIPAA, OIG, and organizational confidentiality standards.
- Promote coding accuracy, ethical practices, and adherence to compliance guidelines throughout the training process.
- Partner with audit teams to identify common error trends and develop targeted training to mitigate these issues.
- Performance & Reporting:
- Maintain detailed records of training activities, participation, completion rates, and performance outcomes.
- Prepare regular reports and presentations for management on training effectiveness, skill development, and performance improvements.
- Contribute to the establishment of performance benchmarks and continuous learning strategies for coding teams.
- Ability to identify and interpret strategic and operational training/development needs.
- Demonstrated ability to develop and implement strategic, responsive training and development plans and programs.
- Knowledge of curriculum development and preparation procedures.
- Ability to design, develop, implement, and evaluate training plans, curricula, and methodology.
- Knowledge of adult learning theory and methodologies.
- Familiarity with professional coding societies and resources.
- Strong oral communication skills and the ability to deliver presentations to large groups.
- Advanced verbal and written communication skills.
- Employee development and performance management skills.
- Experience working with physicians regarding medical coding practices.
- Experience working in team environment and/or developing teams.
- Ability to share knowledge in an effective way that enhances learning and application of new skills.
- > 7 years of experience in coding Auditing, provider coding
- >2 years of experience in training role.
- CPC/CCS/COC certification mandatory
- Excellent knowledge of multispecialty surgery coding including procedural coding, HCPCS coding
- Excellent verbal and written communication
- Experience in Strategic management
- Experience performing new hire trainings
- Experience in project specific training
- Experience handling QA and Training teams
- Experience in training 50 – 100 coding employees
- Strong PC skills; Excel, Word, PowerPoint and internet-based programs
DESIRABLE CRITERIA:
- Auditing experience on multi-specialty
- Trainer experience
EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com.
Skills Required
- More than 7 years of experience in coding auditing and provider coding
- More than 2 years of experience in a training role
- CPC, CCS, or COC certification
- Excellent knowledge of multispecialty surgery coding, procedural coding, and HCPCS coding
- Excellent verbal and written communication skills
- Strategic management experience
- Experience conducting new-hire training
- Experience developing project-specific training
- Experience managing QA and training teams
- Experience training 50 to 100 coding employees
- Strong PC skills, including Excel, Word, PowerPoint, and internet-based programs
- Multispecialty auditing experience
- Trainer experience
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The Company
What We Do
Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.
