QA Trainer
Posted 10hrs ago
Employment Information
Job Description
DRG QA/Trainer overseeing quality assurance of healthcare reimbursement reviews. Conducting training and audits to maintain high clinical standards and compliance in healthcare coding.
Responsibilities:
- Oversee the quality assurance of DRG Reviewers, ensuring adherence to clinical, coding, and organizational standards
- Audit the work of both new hires and current staff
- Conduct training to ensure team members are equipped with the knowledge and skills needed to succeed
- Provide detailed feedback and collaborate on training initiatives
- Foster a culture of continuous learning and improvement
- Review and audit the work of new and existing DRG Reviewers
- Provide constructive, detailed feedback to DRG Reviewers
- Assist the educator by conducting supplemental training sessions and ongoing training to existing staff
- Maintain comprehensive documentation of audit findings, feedback sessions, and training activities
- Generate reports on the quality assurance results and the effectiveness of training sessions
Requirements:
- 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
- Strong knowledge of DRG methodologies (MS & APR), ICD-10-CM/PCS coding, and UHDDS definitions
- Proficient in Windows office systems, including the full Microsoft Suite and Teams
- Advanced skills in Microsoft Office (Excel, PowerPoint, Word)
Benefits:
- PTO, Paid Holidays, and Volunteer Days
- Eligibility for health, vision and dental coverage
- 401(k) plan participation with company match
- Flexible spending accounts
- Tuition Reimbursement
- Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
- Remote and hybrid work options



















