Trainer – Multispecialty Denial Profee Coding
Location: Chennai, India
Company: Guidehouse
Employment Type: Full-Time
Department: Medical Coding Training
Role Summary
The Trainer – Multispecialty Denial Profee Coding is responsible for designing, delivering, and continuously improving coding training programs focused on professional fee (Profee) denial management and multispecialty medical coding. The role involves identifying skill gaps, conducting retraining and refresher programs, monitoring trainee performance, and ensuring coders are equipped with the latest coding guidelines, compliance requirements, and industry best practices.
This position serves as a key contributor to coding quality, productivity, compliance, and workforce development by partnering with operational leaders and training managers to strengthen coding performance across the organization.
Key Responsibilities
Training Needs Assessment & Gap Analysis
Identify coding knowledge gaps and performance deficiencies within coding teams.
Collaborate with department training managers to develop targeted retraining plans.
Analyze:
Quality Scores
Productivity Metrics
Audit Findings
Coding Error Trends
Recommend training interventions to address identified gaps.
Support continuous competency development initiatives.
Training Program Delivery
Conduct training programs related to:
Multispecialty Medical Coding
Professional Fee (Profee) Coding
Denial Management
Coding Compliance
Coding Guidelines Updates
Deliver:
New Hire Training
Refresher Training
Continued Education Sessions
Remediation Programs
Ensure training programs align with business requirements and coding standards.
Performance Monitoring & Evaluation
Monitor trainee performance throughout training programs.
Evaluate:
Examination Results
Coding Accuracy
Productivity Metrics
Knowledge Retention
Provide constructive feedback and coaching to trainees.
Develop performance improvement recommendations based on training outcomes.
Present findings and corrective action plans to management.
Curriculum Development & Training Content Management
Create, revise, and maintain:
Training Manuals
Training Presentations
Learning Materials
Coding Reference Guides
Assessment Tools
Update training content based on:
Coding Guideline Changes
Regulatory Updates
Business Process Modifications
Ensure training materials remain current and relevant.
Coding Education & Knowledge Sharing
Conduct ongoing educational sessions covering:
ICD-10-CM Updates
CPT Updates
HCPCS Updates
Denial Prevention Strategies
Specialty-Specific Coding Requirements
Promote continuous learning and professional development.
Serve as a coding subject matter resource for trainees and operational teams.
Stakeholder Collaboration & Communication
Maintain open communication with:
Trainees
Operations Teams
Auditors
Quality Teams
Department Leadership
Participate in weekly management meetings to:
Report Training Progress
Discuss Challenges
Recommend Curriculum Enhancements
Support alignment between training and operational objectives.
Training Administration & Tracking
Maintain and update training records and performance tracking systems.
Utilize RevTrack and other departmental tools to:
Monitor Training Activities
Track Completion Status
Ensure Timely Follow-Up Actions
Support compliance and documentation requirements related to training programs.
Quality & Compliance Support
Reinforce coding quality standards and compliance expectations.
Ensure training programs support adherence to:
ICD-10-CM Guidelines
CPT Guidelines
HCPCS Guidelines
Payer-Specific Requirements
Organizational Policies
Partner with quality teams to reduce coding errors and denial rates.
Support audit readiness and coding quality initiatives.
Professional Development & Continuous Improvement
Engage in ongoing learning and professional development activities.
Stay updated on:
Coding Regulations
Industry Best Practices
Healthcare Reimbursement Changes
Contribute to continuous improvement of training methodologies and learning effectiveness.
Required Qualifications
Education
One of the following qualifications:
Bachelor’s Degree in:
Life Sciences
Allied Health Sciences
Pharmacy
Nursing
Healthcare Administration
Related Healthcare Discipline
Certification (Mandatory)
One or more of the following:
CPC (Certified Professional Coder)
CCS (Certified Coding Specialist)
CPC-H
Other AAPC Certifications
Other AHIMA Certifications
Experience
Minimum 3–5 years of medical coding experience.
Minimum 1 year of experience with Guidehouse.
Experience in:
Professional Fee Coding (Profee)
Denial Coding
Multispecialty Medical Coding
Coding Quality Programs
Coding Training Activities
Experience conducting training, coaching, or mentoring programs is preferred.
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