Remote DRG Clinical & Coding Educator - Train & Elevate

Gainwell Technologies LLC; Austin (TX); Remote; USD 87,000 - 115,000; Full time

Benefits offered by this job

Benefits from Day 1

Flexible vacation policy

Educational assistance

Leadership development academies

Job summary

Gainwell Technologies is seeking an experienced and innovative DRG Clinical & Coding Educator who develops, coordinates, and delivers comprehensive training for clinical reviewers, DRG validators, and coding auditors. This role serves as SME for DRG validation, APR-DRG, MS-DRG, ICD-10-CM/PCS guidelines, and other coding practices to ensure accuracy and compliance.

You will partner with Operations, Quality, and Leadership to identify educational needs, create materials, mentor teams, monitor

Qualifications

• At least 5 years in inpatient claims auditing, QA, or CDI.
• 5+ years in DRG validation, inpatient coding, APR-DRG and MS-DRG.
• 3+ years developing healthcare policy and Medicare/State regulatory education.
• 5+ years of professional medical coding with education/training/audit support.
• Experience with inpatient/outpatient coding rules.
• Familiar with identifying overpayments/underpayments.

Responsibilities

• Develop and deliver training for DRG auditors, coders, CDI teams, clinicians, and physicians.
• Create and maintain coding education materials, presentations, webinars, and content.
• Serve as SME for ICD-10, DRG validation, and coding guidelines.
• Mentor 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 and policies.
• Maintain documentation of training activities and accreditation requirements.
• Support clinical claim reviews, quality audits, and appeals as needed.
• Maintain expertise in coding and clinical review processes.

Skills

DRG validation

Inpatient coding

Education program development

Auditing

Education

Associate degree in Health Information Management

Bachelor’s degree preferred

Registered Nurse License

Job description

Gainwell Technologies is seeking an experienced and innovative DRG Clinical & Coding Educator who develops, coordinates, and delivers comprehensive training for clinical reviewers, DRG validators, and coding auditors. This role serves as SME for DRG validation, APR-DRG, MS-DRG, ICD-10-CM/PCS guidelines, and other coding practices to ensure accuracy and compliance.

You will partner with Operations, Quality, and Leadership to identify educational needs, create materials, mentor teams, monitor