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Associate manager - Trainer Medical Coding @ Sutherland

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 Associate manager - Trainer Medical Coding

Job Description

Role: Associate manager - Trainer Medical Coding

Location: Hyderabad


Company Description:

About Sutherland

Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, theyre our core expertise.
We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence.

Weve created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless as a service model.

For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities, transformative outcomes and enduring relationships.

Job Description:

The Medical Coding Trainer - Multi-Specialty is responsible for designing, delivering, and evaluating training programs for medical coders, focusing on multi-specialty coding practices, including Evaluation and Management (E/M), denial management, and Hierarchical Condition Category (HCC) coding. The trainer ensures coders are proficient in coding standards such as ICD-10, CPT, and HCPCS, and stay updated with payer guidelines and regulatory changes. The role involves creating training materials, conducting workshops, and supporting coders to achieve high accuracy and compliance in coding for various medical specialties.

Training Program Development and Delivery:**

- Develop and deliver comprehensive training programs covering multi-specialty coding, including E/M, ED Profee/facility, denial coding, HCC, inpatient, and outpatient coding.

- Create training materials, including manuals, presentations, and mock tests, tailored to multi-specialty coding requirements.

- Facilitate both in-person and virtual training sessions, including refresher courses and onboarding for new coders.

- Follow a structured training agenda to ensure consistent learning outcomes.

Coding Expertise and Compliance:**

- Interpret medical records across specialties (e.g., cardiology, surgery, orthopedics) to provide accurate coding guidance.

- Stay updated on coding guidelines (ICD-10, CPT, HCPCS), payer policies, and regulatory changes (e.g., CMS, HIPAA).

- Conduct coding audits to ensure accuracy, compliance, and alignment with industry standards.

- Provide guidance on denial management, including analyzing and resolving claim denials.

- **Mentorship and Support:**

- Mentor coders to improve coding accuracy, productivity, and adherence to client-specific guidelines.

- Offer one-on-one feedback and support to address coding errors and enhance performance.

- Assist in preparing coders for certification exams (e.g., CPC, CCS) through targeted training.

**Collaboration and Reporting:**

- Collaborate with coding supervisors, compliance officers, and healthcare providers to identify training needs.

- Prepare reports on training outcomes, coder performance, and areas for improvement.

- Participate in quality improvement initiatives and coding-related projects.

Job Classification

Industry: BPM / BPO
Functional Area / Department: Customer Success, Service & Operations
Role Category: Non Voice
Role: Non Voice - Other
Employement Type: Freshers

Contact Details:

Company: Sutherland
Location(s): Hyderabad

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Keyskills:   Medical Coding Medical Coding Trainer E/M Surgery Radiology Anesthesia Multispeciality Cpc Certified Denial Coding ED

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Sutherland

Sutherland Established in 1986, Sutherland Global Services is a global provider of business process and technology management services. Sutherland offers an integrated portfolio of analytics-driven back-office and customer facing solutions that support the entire customer lifecycle. One of the l...