Advisor, Talent Development, Instructional Design
Charity Navigator
Medical Review Training Specialist, RN – Outpatient Clinical
BASF
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $70,550 - $82,000 per year
Job Level
Mid-LevelSenior
About the role
- Develop structured training program and material for policies & procedures and comprehensive review guidelines for audit, operations support, and other audit-related staff, with a specific emphasis on clinical nurse review.
- Plan, coordinate, deliver, track, monitor, and report new hire training, as well as ongoing training as required for periodic refreshers, performance improvement, new or modified operating procedures, workflows, tools, requirements, etc.
- Employ a variety of methods to gather information and input to assess training gaps and programs effectiveness such as 360-degree feedback (from trainees, management, and applicable stakeholders), operational performance and QA results, appeals and other metrics at individual and group level, as well as from audit performance, QA results, Appeal metrics and other inputs.
- Provide instruction and direction to employees on proper usage of on-line training tools, and provides follow-up to ensure staff completion of required assigned training in a timely manner, leveraging support from employee’s management and/or HR if required.
- Apply outcomes of program assessment and needs inputs toward continuous improvement and further development of training program scope, courses, materials, and tools.
- Utilize effective adult learning training pedagogy to maximize successful knowledge transfer and skill building, as well as tools and methods for efficiency in training records management effectively in remote/virtual classroom, as well as in-office training.
- Conduct effective training 1:1 and various group size settings.
- Serve as a subject matter expert regarding official clinical guidelines, audit system functionality and audit workflows and files.
- Provide training on Audit guidelines, to ensure compliance with client requirements and in conformance with proper clinical nursing practices.
- Deliver concept-based training which may include reviewing operative reports and other documentation to properly code services using current CPT, HCPCS and ICD 10 CM/PCS codes.
- Proactively monitor changes to coding/clinical methodologies, official guidelines, regulatory standards, and update training material for delivery to auditors using relevant training methods.
- Support Medical Review management in documenting workflows and process improvement plans as needed.
- Provide consultative input to the development of business requirements for audit platform and reporting enhancements to prepare for User Acceptance testing and development of relevant training materials; deliver training on new client implementation, new audit programs, new audit products and/or new audit concepts.
- Conduct User Acceptance Testing on new workflow platform and/or reporting enhancements, ensuring correct functionality, documenting all changes and incorporating changes into training materials and training plans as required.
- Must be able to meet requirements for and perform work assignments in accordance with Company policies and expectations on a home remote basis (and must meet Performant remote-worker requirements). Basic office equipment required to perform remote work is provided by the company.
- Other duties as required and assigned by management to meet overall business needs.
Requirements
- Strong operational subject matter expertise clinical nursing practices.
- Exposure and experience with health care technology (Electronic Medical Records, Coding software and Practice Management Information Systems).
- Knowledge of laws, regulations, or policies impacting the Healthcare industry and understanding of Managed Care requirements under the Medicare/Medicaid and other third-party payor programs.
- Demonstrated ability to take complex ideas and large amounts of information and distill to key learning concepts and principals appropriate for audience intended learning and development.
- Ability to rapidly comprehend and teach new information.
- Demonstrated strength facilitating/presenting information to various audiences in a professional manner with high success in knowledge transfer and skill enhancement.
- Ability to implement concepts of adult learning principles, instructional design, needs assessment and performance measurement and evaluation.
- Demonstrated Project/program management skills.
- Good research and problem-solving skills.
- Demonstrated technical competence to quickly learn and leverage various applications and tools.
- Intermediate to advanced skills in Word, Excel, PowerPoint, and curriculum development tools.
- Experience developing and delivering learning materials through a Learning Management System (LMS) highly desired.
- Ability to obtain and maintain client required clearances as well as pass company regular background and/or drug screening.
- Completion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours.
- Associate degree in relevant field, or equivalent (additional 4 years of directly applicable experience), Bachelor’s degree preferred.
- Active Registered Nursing license AHIMA/AAPC Coding Certification required.
- Prior experience in similar role or function with responsibility for developing and delivering effective knowledge and skill development programs is required; delivery of remote learning is highly preferred.
Benefits
- medical
- dental
- vision
- disability coverage options
- life insurance coverage
- 401(k) savings plans
- paid family/parental leave
- 11 paid holidays per year
- sick time and vacation time off annually
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical nursing practicesadult learning principlesinstructional designneeds assessmentperformance measurementcurriculum developmentcoding softwareLearning Management System (LMS)CPT codingICD 10 CM/PCS coding
Soft skills
facilitating informationknowledge transferskill enhancementproblem-solvingproject managementcommunicationresearchability to teach new informationdistilling complex ideasprofessional presentation
Certifications
Registered Nursing licenseAHIMA Coding CertificationAAPC Coding CertificationAssociate degreeBachelor’s degree
