# DRG QA and Trainer

**Company:** [Machinify](https://hotfix.jobs/companies/machinify)
**Location:** Remote
**Role:** Other
**Salary:** $100k – $120k/yr
**Experience:** 2+ years
**Skills:** Drg Methodologies, Icd-10-Cm, Icd-10-Pcs, Uhdds, Clinical Documentation, Inpatient Claims Auditing, Quality Assurance, Rhia, Rhit, Ccds, Cdip, Ccs, Microsoft Office, Microsoft Teams
**Posted:** 2026-07-02

> Oversee quality assurance and training for DRG Reviewers, auditing work for accuracy and compliance with coding/clinical standards while delivering training on DRG methodologies, clinical validation, and tools. Requires 2+ years inpatient auditing/QA experience, 1+ year training, relevant certifications, and strong knowledge of DRG, ICD-10, and clinical documentation.

## Job Description

## Quality Assurance
- Review and audit the work of new and existing DRG Reviewers to ensure accuracy, compliance, and alignment with established coding and clinical validation guidelines.
- Provide constructive, detailed feedback to DRG Reviewers, highlighting areas for improvement and recognizing high-performance results.
- Collaborate with management to promote continuous improvement in audit accuracy, workflow efficiency, and reviewer performance.

## Training Support
- Assist the educator by conducting supplemental training sessions for new hires on DRG methodologies, clinical validation, and proprietary tools.
- Provide ongoing training to existing staff, focusing on policy updates, skill development, and performance enhancement.
- Contribute to the development of training materials and resources as needed in collaboration with the educator.

## Documentation & Reporting
- Maintain comprehensive documentation of audit findings, feedback sessions, and training activities.
- Generate reports on the quality assurance results and the effectiveness of training sessions for review by management.

## Collaboration & Support
- Work closely with team leaders and the educator to ensure the training and QA processes align with the company’s standards and objectives.
- Serve as an expert resource for DRG Reviewers and other staff members, answering questions and offering guidance on complex cases or procedures.

## Requirements
- Associate or bachelor’s degree in nursing, health information management, or a related field (relevant work experience may be considered in lieu of formal education).
- One or more of: RHIA, RHIT, CCDS, CDIP, CCS.
- 2+ years of experience in 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.
- Expertise in clinical criteria documentation and healthcare coding rules and regulations.
- Ability to provide clear, actionable feedback; strong organizational and time management skills; excellent written and verbal communication; high standards for quality and attention to detail; ability to work independently and in teams.

## Nice-to-Haves
- Experience working with multiple monitors and proven success in a remote working environment.
- Proficient in Windows office systems, including the full Microsoft Suite and Teams; advanced skills in Microsoft Office (Excel, PowerPoint, Word).
- Experience with various software applications and collaboration with development teams.
- Familiarity with multiple encoder/grouper applications.

## Compensation
- Pay range: $100,000-$120,000 + Quarterly Bonus.
- Top Medical/Dental/Vision offerings, FSA/HSA, Tuition reimbursement, 401(k) with company match, additional health and wellness benefits and perks.
- Flexible and trusting environment.

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