Hiring: DRG Clinical & Coding Educator- Remote Company: Gainwell Technologies Location: Texas, United States Job Posted Time: 2026-09-16 07:36:40 Employment Type: Remote Target Skills & Keywords : Compliance About the job Experience: •5 years of experience in inpatient claims auditing, quality assurance, or clinical documentation integrity. •5 years of experience performing DRG validation audits and inpatient coding, with extensive experience in both APR-DRG and MS-DRG. •3+ years of experience developing educational programs related to healthcare policy, Medicare guidelines, and state regulation research and interpretation. Required Skills: •Minimum of 5 years of experience in inpatient claims auditing, quality assurance, or clinical documentation integrity. •Minimum of 5 years of experience performing DRG validation audits and inpatient coding, with extensive experience in both APR-DRG and MS-DRG. •3+ years of experience developing educational programs related to healthcare policy, Medicare guidelines, and state regulation research and interpretation. •5+ years of professional medical coding experience, including supporting coding education, training, quality review, and audit activities. •Experience applying inpatient hospital and outpatient facility coding and billing rules. •In-depth knowledge of clinical claims review audit techniques, including identifying overpayments, underpayments, and other revenue enhancement opportunities. Qualifications: •Associate degree in Health Information Management, Nursing, Clinical Sciences, or a related healthcare field required; Bachelor's degree preferred. •Current, active, and unencumbered Registered Nurse (RN) license required. •Inpatient Coding Certification required (CCS, CIC, CCDS, CDIP, CPMA, RHIA, or RHIT). Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!