Remote DRG Coding Educator & Quality Trainer

Gainwell Technologies LLC; Ohio; Remote; USD 86,000 - 115,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Educational assistance

Generous vacation policy

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 for DRG validation, APR-DRG, MS-DRG, ICD-10-CM/PCS guidelines, and auditing methodologies.

You will provide onboarding and ongoing education to maintain coding accuracy, clinical competency, and compliance with industry standards,

Qualifications

• Onboarding and ongoing education to ensure staff coding accuracy.
• Ability to mentor clinical teams for audit and coding accuracy.
• Experience with DRG validation, APR-DRG, MS-DRG.
• Knowledge of ICD-10-CM/PCS coding guidelines.

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 Audits

Trainer / Education Delivery

Quality Analytics

Auditing & Coding Compliance

Clinical Documentation Improvement (CD

Education

Associates degree in Health Information Management, Nursing, Clinical Sciences or related healthcare fields

Bachelor’s Degree preferred

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 for DRG validation, APR-DRG, MS-DRG, ICD-10-CM/PCS guidelines, and auditing methodologies.

You will provide onboarding and ongoing education to maintain coding accuracy, clinical competency, and compliance with industry standards,