QA Trainer

Posted 10hrs ago

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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

Machinify, Inc.

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