DRG QA & Training Lead — Remote

Machinify; United States; Remote; USD 130,000 - 150,000; Full time

Benefits offered by this job

Work from anywhere in the US

401(k) with company match

Health and wellness benefits

Flexible and empowering environment

Job summary

Machinify is seeking a DRG QA/Training Manager to lead the DRG QA/Trainer team, own the audit program, and direct onboarding and ongoing training ensuring clinicians and coders apply current standards. You will collaborate with DRG Managers and cross‑functional partners to translate audit findings into process improvements.

You will drive quality, accuracy, and efficiency in audits and training while shaping policy and reporting on KPIs.

Qualifications

• Bachelor’s degree in nursing or health information management or health administration.
• Active/unrestricted nursing license preferred.
• Work experience in healthcare billing and coding.
• Experience supervising teams and training staff.
• Strong knowledge of DRG methodologies and coding guidelines.

Responsibilities

• Lead the DRG QA/Trainer team and set goals for audits and training.
• Oversee QA audit program for DRG Reviewers and ensure accuracy.
• Provide coaching and development plans to staff for retention and growth.
• Partner with leadership to drive continuous QA improvements.
• Develop and maintain training materials aligned with clinical and coding standards.

Skills

DRG methodologies

ICD-10-CM/PCS coding

Data analytics

Team leadership

Training / coaching

Quality improvement

Remote collaboration

Education

Bachelor’s degree in nursing or health information management or health administration

Active/unrestricted nursing license preferred

RHIA, CCDS, CDIP, or CCS certification

Tools

Windows Office Suite

Teams / collaboration tools

Job description

Machinify is seeking a DRG QA/Training Manager to lead the DRG QA/Trainer team, own the audit program, and direct onboarding and ongoing training ensuring clinicians and coders apply current standards. You will collaborate with DRG Managers and cross‑functional partners to translate audit findings into process improvements.

You will drive quality, accuracy, and efficiency in audits and training while shaping policy and reporting on KPIs.