Remote DRG QA & Training Specialist

Rawlings Company; United States; Remote; USD 100,000 - 120,000; Full time

Benefits offered by this job

Top Medical/Dental/Vision offerings

FSA/HSA

Tuition reimbursement

Competitive salary, 401(k) with match

Flexible and empowering environment

Job summary

Machinify is seeking a DRG QA/Trainer to oversee QA for DRG Reviewers, audit accuracy and provide targeted training. The role involves feedback, documentation, and collaboration with educators to ensure continuous improvement across the team.

The position supports remote work from anywhere in the U.S., requires nursing or HIM training with DRG coding expertise, and includes a competitive salary with bonus potential.

Qualifications

• 2+ years of inpatient claims auditing, QA, or clinical documentation integrity
• 1+ year of experience in training or mentoring
• Bachelor’s or associate degree in nursing, HIM, or related field is required

Responsibilities

• Review and audit DRG Reviewers to ensure accuracy and compliance with coding and clinical validation guidelines
• Provide actionable feedback to DRG Reviewers and recognize high performance
• Collaborate with management to improve audit accuracy and reviewer performance
• Assist educator with DRG methodology training and materials
• Maintain documentation of audit findings and training activities
• Generate reports on QA results and training effectiveness
• Support team leaders to align QA and training with company standards

Skills

Feedback delivery

Organizational skills

Written and verbal communication

Attention to detail

Independent and team work

DRG methodologies (MS & APR)

Clinical criteria documentation and 규

Education

Associate or bachelor’s degree in nursing or health information management

Tools

Windows Office Suite

Microsoft Excel

MS Teams

Encoder/Grouper apps

Remote work tools

Job description

Machinify is seeking a DRG QA/Trainer to oversee QA for DRG Reviewers, audit accuracy and provide targeted training. The role involves feedback, documentation, and collaboration with educators to ensure continuous improvement across the team.

The position supports remote work from anywhere in the U.S., requires nursing or HIM training with DRG coding expertise, and includes a competitive salary with bonus potential.