via Remote Rocketship
$60K - 85K a year
Oversee quality assurance and training of DRG Reviewers, audit their work, provide feedback, and maintain documentation and reports.
Requires a bachelor's or associate degree in nursing or health information, multiple certifications (RHIA, RHIT, CCDS, CDIP, CCS), 2+ years inpatient claims auditing experience, and 1+ year training experience.
Job Description: • 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
This job posting was last updated on 12/4/2025