Trainer

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together

Primary Responsibilities

• Design and deliver comprehensive training programs for coding professionals on inpatient and outpatient coding practices, covering CPT, ICD-10-CM, HCPCS, PCS, NCCI edits
• Keep up to date with changes in coding guidelines (CMS, AMA, AHA coding clinics) and integrate them into training materials and team communication
• Prepare training documentation, SOPs, reference guides, and maintain accurate training record
• Responsible for tracking assessment scores, coding performance through audits, quality reviews, providing detailed feedback and guidance
• Participate in coding calibration meetings and contribute to coding related discussions
• Support coders with complex case resolution, documentation improvement education, and coding clarification
• Analyze coding data and provide feedback to management on individual and group training results, organize, coordinate and communicate training programs for the business
• Collaborate with the compliance, QA and operations teams to identify coding gaps and ensure continuous improvement
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
• #NTRQ
  
  

• Bachelor’s degree in health information management, life science or a related field is preferred
• AAPC/AHIMA Certification is required: CPC, CIC, CCS, COC
• 8+ years of hands-on outpatient E/M (IP-OP) medical coding experience, with at least 4+ years in training, mentoring or quality role
• In-depth understanding of 2021 E&M guideline changes and CMS documentation
• Familiarity with DRG assignment, MS-DRG, and APR-DRG methodologies
• Solid Knowledge of US healthcare RCM system
• Familiarity with EMR/EHR, compliance standards, auditing platforms
• Excellent attention to detail and accuracy in coding and documentation
• Proficiency in coding software and HER systems (EPIC. eCAC, 3M, Cerner etc.)
• Skills:
• Solid understanding of medical terminology, anatomy, and physiology
• Excellent communication and presentation skills
• Proficiency in using training software and tools
• Solid organizational and time management skills
• Analytical thinking