DRG Clinical and Coding Educator- Remote

Gainwell Technologies; Northern (KY); Hybrid; USD 87,000 - 115,000; Full time

Benefits offered by this job

Day 1 benefits

401(k) match

Educational assistance

Job summary

Gainwell Technologies seeks an experienced DRG Clinical & Coding Educator to develop, coordinate, and deliver comprehensive training for DRG auditors, coders, and CDI teams. The SME will guide ICD-10/DRG coding standards and support quality initiatives.

The role emphasizes onboarding and ongoing education to maintain high coding accuracy and regulatory compliance, with remote U.S. work and full-time benefits.

Qualifications

• Associates degree in Health Information Management or closely related field required; Bachelor’s Degree preferred.
• Active RN license required.
• Inpatient coding certification (CCS, CIC, CCDS, CDIP, CPMA, RHIA, RHIT) required.
• Minimum 5 years inpatient claims auditing or clinical documentation integrity experience.
• 5+ years of professional medical coding experience; experience in coding education and audits.

Responsibilities

• Develop and deliver training programs for DRG auditors, coders, CDI teams, clinicians, and physicians.
• Create and maintain coding education materials, presentations, webinars, and training content.
• Serve as an ICD-10, DRG validation, and coding guidelines SME.
• Mentor and coach clinical teams to ensure audit and coding accuracy.
• Analyze quality trends and training needs; provide targeted education.
• Monitor quality metrics and implement educational improvements.
• Ensure training content complies with coding guidelines, regulations, and clinical policies.
• Maintain documentation of training activities and accreditation requirements.
• Support clinical claim reviews, quality audits, and appeals as needed.
• Maintain expertise in coding, clinical review processes, workflows, and industry standards.]
• CoT_job_summary_short
• COMPANY NAME: Gainwell TechnologiesKEY POINTS: DRG education, coding, compliance, training development
• job_summary_short":"<p>Gainwell Technologies seeks an experienced DRG Clinical & Coding Educator to develop, coordinate, and deliver comprehensive training for DRG auditors, coders, and CDI teams. The SME will guide ICD-10/DRG coding standards and support quality initiatives.</p><p>The role emphasizes onboarding and ongoing education to maintain high coding accuracy and regulatory compliance, with remote U.S. work and full-time benefits.</p>"
• contract_type
• fulltime
• location_type
• remote
• remote_scope
• national
• perks
• [{"name":"Day 1 benefits"},{"name":"401(k) match"},{"name":"Educational assistance"}]
• stated_min
• 86800
• stated_max
• 115000
• stated_absolute
• null
• salary_estimation_cot
• The DRG Educator in the U.S. market earns a pay range of 86,800–115,000 USD per year, with region and equity factors influencing the offer.
• estimated_low
• 86800
• estimated_medium
• 100900
• estimated_high
• 115000
• currency
• USD
• frequency
• yearly
• bonus
• null
• tax
• gross
• application_email
• null
• job_end_date
• 2026-10-30
• contact_person
• null
• hiring_department_name
• null

Skills

5+ years inpatient claims auditing

5+ years coding experience

3+ years developing education programs

Experience applying inpatient/outpat.;

Education

Associates degree in Health Information Management

Nursing

Clinical Sciences

Bachelor’s Degree

Registered Nurse License

Inpatient Coding Certification (CCS CIC CCDS CDIP CPMA RHIA RHIT)

Tools

CCS, CIC, CCDS, CDIP, CPMA, RHIA, RHIT

Job description

Select how often (in days) to receive an alert:

DRG Clinical and Coding Educator- Remote

Date: Sep 16, 2026

Location: Any city, TX, US, 99999

Work Mode: Virtual (Exception only)

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Gainwell Technologies is seeking an experienced and innovative DRG Clinical & Coding Educator who is responsible for developing, coordinating, and delivering comprehensive training programs for clinical reviewers, DRG validators, and inpatient/outpatient coding auditors. This role serves as the subject matter expert for DRG validation, APR-DRG, MS-DRG, assignment, ICD-10-CM/PCS coding guidelines, clinical documentation requirements, and payment integrity audit methodologies.

The DRG Clinical & Coding Educator provides onboarding and ongoing education to ensure staff maintain a high level of coding accuracy, clinical competency, audit consistency, and compliance with industry standards. This position partners closely with Operations, Quality, and Leadership teams to identify educational needs, address knowledge gaps, and support continuous quality improvement initiatives.

Your role in our mission

• Develop and deliver training programs for DRG auditors, coders, CDI teams, clinicians, and physicians.
• Create and maintain coding education materials, presentations, webinars, and training content.
• Serve as an ICD-10, DRG validation, and coding guidelines subject matter expert (SME).
• Mentor and coach clinical teams to ensure audit and coding accuracy.
• Analyze quality trends and training needs, and provide targeted education.
• Monitor quality metrics and implement educational improvements.
• Ensure training content complies with coding guidelines, regulations, and clinical policies.
• Maintain documentation of training activities and accreditation requirements.
• Support clinical claim reviews, quality audits, and appeals as needed.
• Maintain expertise in coding, clinical review processes, workflows, and industry standards.

What we're looking for

• Education: Associates degree in Health Information Management, Nursing, Clinical Sciences or related healthcare fields required, Bachelor’s Degree preferred.
• License/Certification: Current, active and unencumbered Registered Nurse License, Inpatient Coding Certification (CCS, CIC, CCDS, CDIP, CPMA, RHIA, RHIT)
• Minimum of 5 years experience in inpatient claims auditing, quality assurance, or clinical documentation integrity.
• Minimum of 5 years of experience performing DRG Validation Audits, inpatient coding, with extensive experience in APR DRG as well as MS DRG.
• 3+ years of experience with developing education programs related to healthcare policy, Medicare guidelines and State regulation research and interpretation.
• 5+ years of professional medical coding experience, including experience supporting coding education, training, quality review, and audit activities
• Experience applying inpatient hospital and outpatient facility coding and billing rules
• Understanding of clinical claims review audit techniques, identifying overpayments/underpayments, or other identification of revenue opportunities

What you should expect in this role

• Remote within the U.S.
• Full-time position
• Benefits effective on Day 1

Applications accepted through October 30, 2026.

The pay range for this position is$86,800.00-$115,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.