Medical Coding Trainer

Job Description

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.

Requirements

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.

Requirements

Preferred Skills Familiarity with MCG / Inter Qual Guidelines is a plus. Keep up-to-date with regulations and maintain organized records of all activities. Experience with Medicaid, Medicare, and Managed Care is helpful. Strong knowledge of anatomy, physiology, and medical terminology. Proficient in MS Office applications. Excellent communication skills and ability to work both independently and in a team. Strong analytical and problem-solving skills. Qualifications : Candidates with a Bachelor's Degree in Nursing are eligible to apply Freshers can also apply. Candidates already having work experience in the Hospital Field is added advantage.