Machinify
DRG QA and Trainer
Remote - US
Sponsorship not specifiedDetected 19 days ago
ExcelAuditingICD-10CommunicationCollaborationTime ManagementMentoringMicrosoft Office
About the role
- Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country.
- The DRG QA/Trainer is responsible for overseeing the quality assurance of DRG Reviewers, ensuring adherence to clinical, coding, and organizational standards.
- This position plays a key role in auditing the work of both new hires and current staff while conducting training to ensure team members are equipped with the knowledge and skills needed to succeed.
Responsibilities
- Collaborate with management to promote continuous improvement in audit accuracy, workflow efficiency, and reviewer performance
- Maintain comprehensive documentation of audit findings, feedback sessions, and training activities
Requirements
- 2+ years of experience in inpatient claims auditing, quality assurance, or clinical documentation integrity
- 1+ year of experience in a training or mentoring capacity
- Experience with various software applications and collaboration with development teams
Skills
- 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
- Demonstrated ability to work independently and in teams
- 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
- Computer Equipment and Software:
- Experience working with multiple monitors
- 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)
Benefits
- We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
- Additionally, the QA/Trainer provides detailed feedback, collaborates with the educator on training initiatives, and actively fosters a culture of continuous learning and improvement.
- 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
- Registered Health Information Administrator
- Registered Health Information Technician
Apply directly at Machinify →Create a free account for alerts like thisView Machinify immigration profile
This listing is sourced directly from Machinify's careers page and normalized into a canonical job model.