DRG Clinical and Coding Educator- Remote

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Date:
Sep 16, 2026

Location:

Any city, TX, US, 99999

Work Mode:
Virtual (Exception only)

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards.

You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Gainwell Technologies is seeking an experienced and innovative DRG Clinical & Coding Educator who is responsible for developing, coordinating, and delivering comprehensive training programs for clinical reviewers, DRG validators, and inpatient/outpatient coding auditors. This role serves as the 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.

The DRG Clinical & Coding Educator provides onboarding and ongoing education to ensure staff maintain a high level of coding accuracy, clinical competency, audit consistency, and compliance with industry standards. This position partners closely with Operations, Quality, and Leadership teams to identify educational needs, address knowledge gaps, and support continuous quality improvement initiatives.

• Develop and deliver training programs for DRG auditors, coders, CDI teams, clinicians, and physicians.
• Create and maintain coding education materials, presentations, webinars, and training content.
• Serve as an ICD-10, DRG validation, and coding guidelines subject matter expert (SME).
• Mentor and coach clinical teams to ensure audit and coding accuracy.
• Analyze quality trends and training needs, and provide targeted education.
• Monitor quality metrics and implement educational improvements.
• Ensure training content complies with coding guidelines, regulations, and clinical policies.
• Maintain documentation of training activities and accreditation requirements.
• Support clinical claim reviews, quality audits, and appeals as needed.
• Maintain expertise in coding, clinical review processes, workflows, and industry standards.

• Education:
  
  Associates degree in Health Information Management, Nursing, Clinical Sciences or related healthcare fields required, Bachelor’s Degree preferred.
• License/Certification:
  Current, active and unencumbered Registered Nurse License, Inpatient Coding Certification (CCS, CIC, CCDS, CDIP, CPMA, RHIA, RHIT)
• Minimum of 5 years experience in inpatient claims auditing, quality assurance, or clinical documentation integrity.
• Minimum of 5 years of experience performing DRG Validation Audits, inpatient coding, with extensive experience in APR DRG as well as MS DRG.
• 3+ years of experience with developing education programs related to healthcare policy, Medicare guidelines and State regulation research and interpretation.
• 5+ years of professional medical coding experience, including experience supporting coding education, training, quality review, and audit activities
• Experience applying inpatient hospital and outpatient facility coding and billing rules
• Understanding of clinical claims review audit techniques, identifying over payments/underpayments, or other identification of revenue opportunities

• Remote within the U.S.
• Full-time position
• Benefits effective on Day 1

Applications accepted through October 30, 2026.

The pay range…