DRG QA Trainer

📋 Description

• Evaluate and audit the performance of both new and current DRG Reviewers to ensure precision, compliance, and adherence to established coding and clinical validation standards.

• Offer constructive and detailed feedback to DRG Reviewers, emphasizing areas for growth while acknowledging exceptional performance.

• Partner with management to foster ongoing enhancements in audit accuracy, workflow efficiency, and reviewer effectiveness.

• Support the educator by leading supplementary training sessions for new hires on DRG methodologies, clinical validation, and proprietary tools.

• Deliver continuous training to current staff, concentrating on policy updates, skill enhancement, and performance improvement.

• Keep thorough documentation of audit results, feedback discussions, and training initiatives.

• Create reports on quality assurance outcomes and the success of training sessions for management review.

• Collaborate closely with team leaders and the educator to ensure that training and QA processes are in line with the company's standards and objectives.

• Act as a knowledgeable resource for DRG Reviewers and other staff, addressing queries and providing guidance on complex cases or procedures.

⛳️ Requirements

• Associate or bachelor’s degree in nursing, health information management, or a related discipline.

• Relevant work experience may be accepted in place of formal education.

• RHIA - Registered Health Information Administrator.

• RHIT - Registered Health Information Technician.

• CCDS - Certified Clinical Documentation Specialist.

• CDIP - Clinical Documentation Improvement Practitioner.

• CCS - Certified Coding Specialist.

• Over 2 years of experience in inpatient claims auditing, quality assurance, or clinical documentation integrity.

• More than 1 year of experience in a training or mentoring role.

🏝️ Benefits

• Work from anywhere in the US! Machinify operates in a digital-first environment.

• Comprehensive Medical/Dental/Vision offerings.

• FSA/HSA options available.

• Tuition reimbursement program.

• Competitive salary along with a 401(k) that includes a company match.

• Additional health and wellness benefits and perks.

• Flexible and trusting workplace where you’ll be empowered to perform at your best.