Multispecialty Medical Coding Trainer

Job Title: Multispecialty Medical Coding Trainer

Certifications: CPC / CCS / COC / CIC or equivalent (Mandatory / Preferred)

Job Description

We are seeking an experienced Professional Medical Coding Trainer with strong expertise in Evaluation & Management (E/M) coding and multi-specialty surgical coding. The role focuses on training fresh graduates and experienced coders, enhancing coding accuracy, compliance, productivity, and readiness for live US healthcare projects.

Roles & Responsibilities

Training & Knowledge Development

• Train fresh graduates on:
• Medical terminology
• Human anatomy and physiology
• Basics of ICD‑10‑CM, CPT®, and HCPCS coding concepts
• Upskill experienced medical coders on:
• Specialty-specific coding guidelines
• Advanced E/M coding (based on latest CMS/AMA updates)
• Modifier application and NCCI edits
• Productivity and quality benchmarks

Specialty Coding Expertise

• Deliver in-depth training on multispecialty surgical coding, including but not limited to:
• General Surgery
• Orthopedics
• Cardiology
• Gastroenterology
• Urology
• ENT
• Obstetrics & Gynecology
• Explain global surgery rules, operative report analysis, bundling, and unbundling concepts

Assessment, Audits & Quality Support

• Conduct coding assessments, mock tests, evaluations, and internal audits
• Analyze audit findings and deliver targeted retraining to improve accuracy and compliance
• Support QA and Operations teams with:
• Retraining initiatives
• Root‑cause analysis
• Issue resolution and process improvement

Content Development & Performance Tracking

• Develop, customize, and update training materials annually based on:
• CPT, ICD‑10‑CM, and HCPCS guideline changes
• Payer-specific and CMS updates
• Track and monitor trainee performance, including:
• Accuracy levels
• Productivity metrics
• Learning progress and improvement trends
• Maintain training documentation and compliance records

Key Skills

• Multispecialty Medical Coding
• ICD‑10‑CM, CPT®, and HCPCS Level II
• Evaluation & Management (E/M) Coding
• Inpatient & Outpatient Professional Fee Coding
• Coding Audits, Quality Assurance (QA), and Compliance
• Trainer, Mentor, and SME capabilities
• Medical Terminology, Anatomy, and Physiology
• Denials Management & Compliance Knowledge

Desired Candidate Profile

• Minimum 5+ years experience in Medical Coding
• Prior experience in training, mentoring, or auditing medical coders
• Proven expertise in:
• E/M coding (2021+ guideline-based)
• Multispecialty surgical and professional fee coding
• Strong communication and presentation skills
• Ability to handle multiple training batches
• Strong understanding of US healthcare reimbursement, compliance, and payer rules

Key Performance Indicators (KPIs)

• Trainee accuracy and productivity improvement scores
• Coding assessment and audit results
• Certification pass rates (CPC/CCS)
• Training feedback and satisfaction scores

Please share your resume at mvuyyala@primehealthcare.com or DM for more information.