Full Description

Job Purpose The Academe Inpatient Medical Coding QA Educator is responsible for elevating coding accuracy and compliance through targeted education driven by QA findings. This role bridges quality assurance and training by designing evidence-based curricula, leading corrective coaching, and monitoring knowledge application across inpatient coders. The Educator ensures alignment with official guidelines (ICD-10-CM/PCS, UHDDS, POA) and payer-specific rules, supports rebuttal resolution, and drives sustained performance improvement reflected in reduced error rates and improved DRG integrity. Key Responsibilities Education Program Design & Delivery Develop and deliver structured education plans based on QA audit trends (e.g., principal diagnosis selection, MCC/CC capture, PCS root operations, device qualifiers, sequencing rules, POA indicators). Create modular learning content (micro-lessons, job aids, case-based workshops, checklists, reference packs) for targeted gaps.

Facilitate 1: 1 coaching and small group sessions, incorporating live case simulations and retrospective chart reviews. QA Integration & Continuous Improvement Perform QA reviews on assigned coding samples to ensure accuracy, compliance, and adherence to client-specific guidelines. Analyze audit outcomes to identify error patterns, contributing factors, and root causes; translate findings into actionable education. Validate error classification, consistency, and hierarchy application; support rebuttal assessment with evidence-based rationale. Maintain and update an education backlog tied to high-impact error clusters and payer denials. Compliance & Standards Ensure all training aligns with ICD-10-CM/PCS Official Guidelines, CMS MS-DRG grouping logic, UHDDS definitions, Coding Clinic guidance, POA reporting, and facility- or payer-specific policies. Monitor guideline changes and cascade updates, update materials and sessions in a timely manner. Performance Monitoring & Reporting Define and track education effectiveness metrics (pre/post assessments, error rate deltas, DRG change rates, denial events, audit pass rates). Publish weekly/monthly dashboards on education outcomes and risk hotspots; present at Ops/QA touchpoints. Partners with Operations leads to schedule education without disrupting throughput, coordinating follow-ups and reinforcement plans. Stakeholder Collaboration Work closely with QA Supervisors, Operations Managers, Trainers, and onshore clients to align on expectations, sampling, glidepaths, and timelines. Contribute to playbook standardization across accounts, support rollout of QA forms, templates, and rebuttal workflows. Required Qualifications

Education: Bachelor’s degree in a health-related field (e.g., Nursing, Allied Health, HIM) or equivalent experience.

Certifications: Must have CCS/CIC certification.

Experience

• Solid 3 years of Inpatient DRG QA experience.
• Demonstrated experience designing and delivering coder education based on QA data.