Texas Licensed DRG Coding Educator

Job Summary

Seeking a Texas Licensed DRG Coding Educator, the full-time remote position will develop and deliver training programs for clinical reviewers, DRG validators, and coding auditors, ensuring compliance with coding guidelines and clinical documentation requirements.

Key responsibilities

• Develop and deliver training programs for DRG auditors, coders, and clinical teams
• Create and maintain educational materials, presentations, and training content
• Analyze quality trends and provide targeted education to support continuous improvement initiatives

Required qualifications

• Associate's degree in Health Information Management, Nursing, Clinical Sciences, or related field; Bachelor's degree preferred
• Current and active Registered Nurse License and Inpatient Coding Certification (e.g., CCS, CIC, CCDS)
• Minimum of 5 years of experience in inpatient claims auditing and clinical documentation integrity
• Extensive experience in DRG Validation Audits and inpatient coding, particularly with APR DRG and MS DRG
• 3+ years of experience developing education programs related to healthcare policy and Medicare guidelines