DRG QA and Trainer

The role

The DRG QA/Trainer oversees quality assurance for DRG Reviewers and conducts training. This person audits work for accuracy and compliance while providing feedback and training support to new and existing staff.

What you will do

• Review and audit the work of new and existing DRG Reviewers
• Provide constructive, detailed feedback to DRG Reviewers
• Collaborate with management to promote continuous improvement
• Conduct supplemental training sessions for new hires
• Provide ongoing training to existing staff
• Contribute to the development of training materials and resources
• Maintain documentation of audit findings, feedback sessions, and training activities
• Generate reports on quality assurance results and training effectiveness
• Work with team leaders and the educator to align processes with company standards
• Serve as an expert resource for DRG Reviewers and staff

Required qualifications

• Associate or bachelor’s degree in nursing, health information management, or a related field
• RHIA - Registered Health Information Administrator
• RHIT - Registered Health Information Technician
• CCDS - Certified Clinical Documentation Specialist
• CDIP - Clinical Documentation Improvement Practitioner
• CCS - Certified Coding Specialist
• 2+ years of experience in inpatient claims auditing, quality assurance, or clinical documentation integrity
• 1+ year of experience in a training or mentoring capacity
• Ability to provide clear, actionable feedback to team members
• Strong organizational and time management skills
• Excellent written and verbal communication
• High standards for quality and attention to detail

Nice to have

• Relevant work experience may be considered in lieu of formal education

Benefits

• Top Medical/Dental/Vision offerings
• FSA/HSA
• Tuition reimbursement
• Competitive salary
• 401(k) with company match
• Additional health and wellness benefits and perks

About the company

Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. It uses an AI-powered platform to maximize financial outcomes and drive down healthcare costs.