Remote DRG QA & Training Specialist

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

Benefits offered by this job

Remote work

Medical benefits

FSA/HSA

Tuition reimbursement

401(k) match

Flexible environment

Job summary

Machinify, a leading healthcare intelligence company, seeks a DRG QA/Trainer to oversee QA for DRG Reviewers, provide detailed feedback, and collaborate with educators on training initiatives. The role emphasizes clinical validation, coding accuracy, and continuous improvement in audit performance.

You will train new hires, update training materials, and generate reports on QA effectiveness while supporting staff development in a remote US-based environment.

Qualifications

• Associate or bachelor’s degree in nursing, health information management, or a related field.
• RHIA, RHIT, CCDS, CDIP, CCS certifications are required or preferred.
• 2+ years of inpatient claims auditing, quality assurance, or clinical documentation integrity.
• 1+ year of experience in a training or mentoring capacity.
• Strong knowledge of DRG methodologies (MS & APR), ICD-10-CM/PCS coding, and UHDDS definitions.

Responsibilities

• Quality Assurance: Review and audit the work of DRG Reviewers for accuracy and compliance with coding and clinical guidelines.
• Training Support: Assist educator by conducting supplemental training on DRG methodologies and proprietary tools.
• Documentation & Reporting: Maintain audit findings, feedback sessions, and training Activity documentation; generate management reports.
• Collaboration & Support: Work with team leaders and educator to ensure QA and training align with company standards and objectives; assist staff with complex cases.

Skills

DRG methodologies

ICD-10-CM/PCS coding

UHDDS definitions

Feedback

Communication

Time management

Remote work

Team collaboration

Education

Nursing degree

Health Information Management degree

RHIA

RHIT

CCDS

CDIP

CCS

Tools

Microsoft Office

Teams

Encoder/Grouper apps

Job description

Machinify, a leading healthcare intelligence company, seeks a DRG QA/Trainer to oversee QA for DRG Reviewers, provide detailed feedback, and collaborate with educators on training initiatives. The role emphasizes clinical validation, coding accuracy, and continuous improvement in audit performance.

You will train new hires, update training materials, and generate reports on QA effectiveness while supporting staff development in a remote US-based environment.