Diagnosis-Related Group Trainer

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide onboarding training for new DRG auditors and refresher training for existing auditors.

• Create and update training materials and modules related to medical coding and billing, covering ICD-10-CM, CPT, and HCPCS.

• Assess the effectiveness of training; analyze coding audit errors and trends to pinpoint root causes and deliver focused training or remediation.

• Guide and mentor DRG auditors, offering coaching and performance feedback as necessary.

• Conduct quality reviews associated with initial audits and appeals to support training insights and reinforce skills.

• Identify opportunities beyond typical audit findings that may lead to additional recoveries and integrate these insights into training.

• Stay updated on ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines.

• Monitor and aggregate learner performance data from quizzes, exams, and assessments, presenting summarized insights during weekly meetings.

• Execute all responsibilities in compliance with company policies, information security, and regulatory standards.

• Perform additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree or equivalent qualification.

• RHIT or RHIA certification is mandatory.

• CCS or CPC certification is required.

• Over 5 years of relevant experience in DRG and APR DRG coding/auditing.

• At least 3 years of experience in training, facilitation, or coaching within a coding, audit, or payment integrity environment.

• Familiarity with Medicare Local Coverage Determinations (LCD) and National Coverage Determinations (NCD).

• Background in coding auditing, quality review, or payment integrity programs.

• Experience in delivering training, coaching, or mentoring to both new hires and/or seasoned staff.

🏝️ Benefits

• Health insurance.

• Retirement plans.

• Paid time off.

• Flexible work arrangements.

• Opportunities for professional development.

• Bonuses.