17 Aug
|
Sagility
|
Bengaluru
17 Aug
Sagility
Bengaluru
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Position Overview
The Clinical Trainer is responsible for delivering structured training programs for offshore clinicians supporting clinical review (e.g., utilization management, case review, abstraction) and medical coding workflows. This role ensures learners develop solid clinical judgment, accurate documentation practices, and coding proficiency required to support high-quality clinical and coding outcomes.
The trainer will lead new hire training, uptraining programs, and ongoing skill development, ensuring alignment with clinical criteria, coding guidelines, quality standards, and productivity expectations.
This role collaborates closely with Operations, Quality Assurance, and Client Stakeholders to maintain clinical accuracy, coding compliance, and overall readiness of clinicians handling end-to-end case evaluation.
Job title:
Clinical Trainer
Job Description:
Key Responsibilities
Training Delivery
- Facilitate new hire training programs covering:
- Clinical review workflows (UM, case review, abstraction)
- Medical necessity evaluation and criteria interpretation
- Clinical documentation standards
- ICD-10, CPT, and HCPCS coding systems
- System navigation and operational procedures
- Deliver uptraining modules, including but not limited to:
- Complex and high-risk case reviews
- Appeals and edge-case clinical scenarios
- Documentation-driven coding accuracy
- Specialty-specific scenarios (e.g., inpatient, outpatient, oncology)
- Conduct case-based discussions to reinforce clinical judgment, documentation accuracy,
📌 Clinical Trainer (Bengaluru)
🏢 Sagility
📍 Bengaluru