The Outpatient Trainer plays a critical role in improving audit consistency,
accuracy, and completeness by translating audit outcomes into effective learning
experiences. This role supports the Outpatient Audit program by delivering and
reinforcing training to improve coding accuracy and audit quality in alignment
with EXL standards. This role 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. The Outpatient Trainer partners closely
with Quality Analysts, Auditors, and Subject Matter Experts to ensure training
content reflects current outpatient coding requirements and audit expectations.
Salary Range: $85,000 – $92,000 (based on experience, skills, and
qualifications)
Location: 100% Remote (U.S.-based)
Up to 10% annual travel (for team meetings and limited client onsite
engagements.)
A brief coding/auditing assessment may be included as part of the interview
process.
For more information on benefits and what we offer please visit us
at https://www.exlservice.com/us-careers-and-benefits
[https://www.exlservice.com/us-careers-and-benefits]
The posted base salary range is the hiring base salary range for this role.
Final offers are based on several factors, including: the candidate's skills and
experience, internal pay equity, work location, market conditions for the role,
and the specific scope and responsibilities of the position.
RESPONSIBILITIES
Deliver onboarding training for new outpatient coders and refresher training
for tenured coders.
Develop and maintain training content and modules related to medical coding
and billing, including ICD-10-CM, CPT, E/M coding, Business of Medicine, edit
resolution, and revenue cycle concepts.
Analyze coding errors and audit trends to identify root causes and deliver
targeted training or remediation.
Mentor outpatient coders and provide coaching and performance feedback as
needed.
Conduct quality reviews related to initial audits and appeals 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.
QUALIFICATIONS
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)
Knowledge and Skills:
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.
What we offer:
EXL Health offers an exciting, fast paced, and innovative environment, which
brings together a group of sharp and entrepreneurial professionals who are
eager to influence business decisions. From your very first day, you get an
opportunity to work closely with highly experienced, world class Healthcare
consultants
You can expect to learn many aspects of businesses that our clients engage
in. You will also learn effective teamwork and time-management skills—key
aspects for personal and professional growth
We provide guidance/coaching to every employee through our mentoring program
wherein every junior-level employee is assigned a senior-level professional
as an advisor
The sky is the limit for our team members. The unique experiences gathered at
EXL Health sets the stage for further growth and development in our company
and beyond
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
[http://www.exlservice.com/].
EXL never requires or asks for fees/payments or credit card or bank details
during any phase of the recruitment or hiring process and has not authorized any
agencies or partners to collect any fee or payment from prospective candidates.
EXL will only extend a job offer after a candidate has gone through a formal
interview process with members of EXL’s Human Resources team, as well as our
hiring managers.
EXL is the indispensable partner for leading businesses in data-led industries
such as insurance, banking and financial services, healthcare, retail and
logistics. We bring a unique combination of data, advanced analytics, digital
technology and industry expertise to help our clients turn data into insights,
streamline operations, improve customer experience, and transform their
business. Our partnerships with clients are built on a foundation of
collaboration – and we’ve been chosen as a partner by nine of the top ten
leading US insurance companies, nine of the top 20 global banks, and six of the
top ten US health care payers. We function as one team to make your goals our
goals, whether that’s unlocking the value of generative AI or embedding
analytics into workflows that reduce risk or power your growth. Clients choose
EXL as their transformation partner for many reasons. Our geographic diversity
make talent all over the world instantly accessible. Digital accelerators enable
unmatched speed-to-value, letting you realize results fast. It’s our people that
truly set us apart, though, including the 1,500 data scientists we have
dedicated to our generative AI practice. And our more than twenty years of
experience in delivering business services, garnering stellar client references,
and maintaining a solid balance sheet are reassuring to our C-suite clients.
Find out for yourself why clients, employees, and analysts think we’re some of
the best in the business. Contact us to see how we can help you achieve your
goals.