Remote DRG QA & Training Leader

Machinify; Dallas (TX); Remote; USD 130,000 - 150,000; Full time

Benefits offered by this job

Work from anywhere in US

Job summary

Machinify is seeking a DRG QA/Training Manager to lead the DRG QA/Trainers, manage audits, and drive training aligned with MS-DRG/APR-DRG guidelines. You will collaborate across departments to turn audit findings into process improvements and measurable quality gains.

Responsibilities include onboarding and ongoing training, monitoring performance, and producing reports on quality metrics. This role supports remote work while maintaining US-wide operation standards.

Qualifications

• Bachelor’s degree in nursing with active/unrestricted license.
• Active/unrestricted nursing license preferred; leadership experience.
• 5+ years healthcare billing and coding experience.
• 3+ years inpatient claims auditing or related QA/CI experience.
• Previous supervisory experience required; staff training experience.
• Certifications RHIA/CCDS/CDIP/CCS preferred.

Responsibilities

• Lead the DRG QA/Trainer team, set goals, and prioritize audit/training work.
• Develop plans for staff development and retention.
• Communicate priorities via regular one-on-one and team meetings.
• Monitor QA results to ensure timely audits and training.
• Own the QA audit program for DRG Reviewers and calibrate criteria.
• Oversee training materials and measure training effectiveness.
• Provide KPI reports on quality scores and training outcomes.
• Collaborate with leadership for continuous QA improvements.

Skills

MS-DRG

APR-DRG

AP-DRG

ICD-10-CM/PCS

DRG validation

Medicare rules

Data analysis

Coaching

Leadership

Communication

Remote work

Excel

Office 365

Problem solving

Education

Bachelor's degree in nursing

Active/unrestricted nursing license

RHIA

CCDS

CDIP

CCS

Tools

Microsoft Excel

Windows Office Suite

Teams

Multi-monitor setups

Remote collaboration tools

Job description

Machinify is seeking a DRG QA/Training Manager to lead the DRG QA/Trainers, manage audits, and drive training aligned with MS-DRG/APR-DRG guidelines. You will collaborate across departments to turn audit findings into process improvements and measurable quality gains.

Responsibilities include onboarding and ongoing training, monitoring performance, and producing reports on quality metrics. This role supports remote work while maintaining US-wide operation standards.