Remote DRG Clinical & Coding Educator: Training & Audits

Gainwell Technologies

Texas, United States, Northern America, Americas

Hybrid

USD 87,000 - 115,000

Full time

9 days ago

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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

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.

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