DRG Clinical and Coding Educator – Remote

Ever imagined leveraging your deep medical insights to solve some of healthcare's most intricate challenges, all from the comfort of your home? At Gainwell Technologies, we believe in empowering great minds. We understand you’ve sharpened your skills in demanding medical environments. Here, you'll discover a dynamic setting that values your expertise, offers flexible hours, and champions a genuine work-life balance. Join a company committed to your continuous learning and career development, where your impact is profound and your potential is limitless. This is a fully remote opportunity, open to talented professionals worldwide.

Overview

Gainwell Technologies is actively seeking an experienced and innovative DRG Clinical and Coding Educator. This pivotal role involves developing, coordinating, and delivering comprehensive training programs for our dedicated clinical reviewers, DRG validators, and inpatient/outpatient coding auditors. You will be the essential subject matter expert for DRG validation, APR-DRG, MS-DRG assignment, ICD-10-CM/PCS coding guidelines, clinical documentation requirements, and payment integrity audit methodologies. Your mission will be to provide vital onboarding and ongoing education, ensuring our staff consistently maintains the highest level of coding accuracy and compliance.

Key Responsibilities

Design and implement engaging, comprehensive training programs focused on DRG validation, coding guidelines, and clinical documentation.
Serve as the authoritative subject matter expert, offering guidance and clarity on complex coding scenarios and payment integrity audit processes.
Develop educational materials, presentations, and resources that support continuous learning and professional development for the team.
Conduct regular training sessions, workshops, and individual coaching to enhance staff proficiency and address knowledge gaps.
Collaborate with internal teams to identify emerging trends, coding updates, and regulatory changes relevant to DRG assignments and documentation.
Evaluate the effectiveness of training programs through assessments and feedback, making necessary adjustments for optimal outcomes.
Maintain current knowledge of industry best practices, coding updates, and healthcare regulations.
Provide expert consultation and support for challenging audit cases and appeals.

Requirements

Extensive professional experience as a DRG Clinical and Coding Educator or a similar senior role within healthcare.
Deep understanding and practical expertise in DRG validation, APR-DRG, and MS-DRG assignment methodologies.
Mastery of ICD-10-CM/PCS coding guidelines and their application in various clinical settings.
Proven ability to develop, coordinate, and deliver effective educational programs for adult learners.
Exceptional analytical and problem-solving skills, with a keen eye for detail in clinical documentation and coding.
Strong communication and interpersonal abilities, capable of engaging and educating diverse audiences.
Relevant professional certifications (e.g., CCS, RHIA, RHIT, CDIP, CPHQ) are highly preferred.

What You'll Gain

The chance to make a significant impact on healthcare solutions and payment integrity on a global scale.
A flexible, remote work environment that truly supports work-life balance.
Outstanding opportunities for continuous learning and professional growth within a supportive company culture.
Access to innovative tools and resources to excel in your role.
The satisfaction of empowering a team of skilled professionals to achieve excellence.