DRG Senior Educator, Coding

Ensemble Health Partners; United States; Remote; USD 69,000 - 120,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is seeking a DRG Senior Coding Educator to educate, train, and develop processes with leadership to support accurate DRG assignments. The role focuses on onboarding new CDSs, mentoring CDI staff, and collaborating with clinicians to ensure timely, compliant documentation.

The position emphasizes expertise in clinical documentation and coding, with remote work flexibility but travel to client or corporate sites as needed.

Qualifications

• 3+ years related experience with clinical documentation and/or coding.
• Experience with multiple EMRs (Epic, Meditech and Cerner).
• Detail oriented and self-motivated.
• Strong organizational skills.

Responsibilities

• Implements onboarding for new CDSs and coordinates training for CDI staff.
• Educates healthcare professionals through 1:1 and group sessions; interacts with medical staff and leadership.
• Makes recommendations for documentation improvement and queries to capture care and intensity of services.

Skills

Clinical documentation

Coding

EMR systems

Training delivery

PowerPoint

Education

Bachelor degree

Tools

Epic

Meditech

Cerner

Job description

The Opportunity:

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives

• Paid Certifications

• Tuition Reimbursement

• Comprehensive Benefits

• Career Advancement

• This position pays between $69,400 to $119,700annually based on experience

The DRG Senior Coding Educator acts as a subject matter expert to educate, train, and develop/revise processes in coordination with leadership to assist in achieving CDI’s goal of facilitating accurate and complete documentation for coding and the capture of severity, acuity, and risk of mortality and most accurate Diagnosis Related Group (DRG) assignments.

Job Responsibilities:

• Implements and continuouslydevelopsonboarding for all new Clinical Documentation Specialists (CDSs) for mentoring and education needs. Leads and coordinates training of new CDI staff. Collaborate with CDI leadership and other clinicians tofacilitatethe ongoing relevance of department specific orientation content, educational materials, and training programs/resources.

• Formulates customized education to other healthcare professionals based on audience and areas of opportunity. Audiences include, but are not limited to CDS/Coders, providers, mid-levels, nursing, dietary, Quality, etc. Education provided includes 1:1 education and/or group education. Interacts with medical staff members, directors, and senior hospital leadership staff as needed.

• Makes recommendations for documentation improvement and queries to capture care and intensity of services as supported within the medicalrecorddocumentation.

• Demonstrates understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and the impact of procedures on the final Diagnosis Related Group (DRG).

• Educate members of the CDI teamand providerson thereviewfunctions within the CDI program to meet andmaintainenterprise goals andobjectives, regulatory compliance, policies and procedures and standard operating procedures.Assistwith the development and maintenance of system CDI policies and procedures. Remain current on CDI guidelines and practices.

• Ensuresprogram compliance by following coding guidelines and coding clinics. Remains current with coding information to ensure accuracy of codes assigned based on documentation.

• Serve as a key resource foraccurateand ethical documentation standards and regulatory requirements.

• Demonstrates the ability to draft compliant queries as endorsed by AHIMA and ACDIS.

• Performs medical record reviews for completeness and accuracy in capturing severity of illness, risk ofmortalityand clinical validation.

• Determinesif professionally recognized standards of quality care are met.

• Audits CDSs as needed to ensure that systemobjectivesare met. Develops educational plan for individual CDS based on Quality Audit (QA) outcomes. Provides 1:1 mentoring as needed.

• Oversees and coordinates SMART related education, meetings, and requirements for the department and as instructed by the SMART department.

Experience We Love:

• 3+ yearsrelated experiencewithclinical documentation and/orcoding
• Experience with multiple EMRs (Epic, Meditech and Cerner)
• Detail oriented and self-motivated
• Strong organizational skills
• Excellent speaking and presentation skills
• Working knowledge of Microsoft applications, includingcreationof Power Point presentations.
• Could require minimal travel
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Minimum Education:

• BachelorsDegreeor Equivalent Experience

Licensure Required:

• MD (Doctor of Medicine)

OR

• RN (Registered Nurse)

CertificationRequired:

Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA orCCS Preferred):

• CCS (Certified Coding Specialist)
• CPC (Certified Professional Coder)
• CPMA (Certified Professional Medical Auditor)
• RHIA (Registered Health Information Administrator)
• RHIT (Registered Health Information Technician)

AND

• Certified Revenue Cycle Representative (CRCR)completion within 9 months of hire

Join an award-winning company

Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

Black Book Research’s Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group’s RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

Bottom line, we believe in empowering people

• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail].

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

Employment Disclaimers – Ensemble