DRG Clinical Coding Educator — Remote

Gainwell Technologies LLC; Columbus (OH); Remote; USD 87,000 - 115,000; Full time

Benefits offered by this job

Generous vacation policy

401(k) employer match

Health benefits

Educational assistance

Job summary

Gainwell Technologies LLC is seeking an experienced DRG Clinical & Coding Educator to develop, coordinate, and deliver comprehensive training for clinical reviewers, DRG validators, and inpatient/outpatient coding auditors. You will serve as the subject matter expert in DRG validation, APR-DRG, MS-DRG, ICD-10-CM/PCS guidelines, and related audit methodologies.

You will onboard and educate staff to maintain high coding accuracy, audit consistency, and compliance, partnering with Operations,

Qualifications

• 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.
• 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.

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.
• 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.

Skills

DRG validation

Inpatient coding

Healthcare training design

Clinical documentation integrity

Quality improvement

Education

Associate degree in Health Information Management / Nursing / Clinical Sciences

Registered Nurse License (RN)

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

Bachelor's degree preferred

Tools

CCS

CIC

CCDS

CDIP

CPMA

RHIA

RHIT

Job description

Gainwell Technologies LLC is seeking an experienced DRG Clinical & Coding Educator to develop, coordinate, and deliver comprehensive training for clinical reviewers, DRG validators, and inpatient/outpatient coding auditors. You will serve as the subject matter expert in DRG validation, APR-DRG, MS-DRG, ICD-10-CM/PCS guidelines, and related audit methodologies.

You will onboard and educate staff to maintain high coding accuracy, audit consistency, and compliance, partnering with Operations,