Remote DRG QA Lead & Trainer

Machinify, Inc.

United States

Remote

USD 100,000 - 120,000

Full time

5 days ago
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Benefits offered by this job

Work from anywhere in the US
Competitive salary and benefits
Bonus potential

Job summary

Machinify, Inc. is seeking a DRG QA/Trainer to oversee quality assurance of DRG Reviewers, audit performance, and train staff. You will provide feedback, collaborate on training initiatives, and foster continuous improvement across the team.

The role supports remote work from anywhere in the US, with compensation reflecting experience and certifications. Expect collaboration with educators and management to optimize QA processes and outcomes.

Qualifications

  • Associate or bachelor’s degree in nursing, health information management, or related field.
  • Relevant work experience may be considered in lieu of formal education.
  • 2+ years in inpatient claims auditing or QA.
  • 1+ year in training or mentoring capacity.

Responsibilities

  • Review and audit DRG Reviewer work for accuracy and compliance with coding and clinical guidelines.
  • Provide detailed feedback and recognize high performance.
  • Collaborate with management to improve audit accuracy and reviewer performance.
  • Assist educator with DRG methodologies training and materials development.
  • Maintain documentation of audit findings and training activities.
  • Generate reports on QA results and training effectiveness.
  • Support alignment of QA/training processes with company standards.

Skills

Clear feedback
Organizational skills
Attention to detail
Teamwork
DRG/ICD coding knowledge
Clinical documentation knowledge

Education

Associate or bachelor’s degree in nursing, HIM, or related field
Experience may substitute education

Tools

Microsoft Office Suite
Teams
Encoder/Grouper apps
Remote work tools

Job description

Machinify, Inc. is seeking a DRG QA/Trainer to oversee quality assurance of DRG Reviewers, audit performance, and train staff. You will provide feedback, collaborate on training initiatives, and foster continuous improvement across the team.

The role supports remote work from anywhere in the US, with compensation reflecting experience and certifications. Expect collaboration with educators and management to optimize QA processes and outcomes.

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