Optum, a global health optimization leader, is seeking an experienced IP DRG Coding Trainer. Join a supportive and inclusive culture dedicated to improving health outcomes through technology. This role offers comprehensive benefits and career development opportunities while making a significant impact on global health.

This position is crucial for enhancing the skills of our coding professionals. You will be instrumental in ensuring accurate and compliant inpatient coding practices, adhering to all relevant guidelines and regulations.

Develop and deliver comprehensive training on ICD-10-CM, ICD-10-PCS, MS-DRG, APR-DRG, UHDDS, and payer-specific requirements.

Stay abreast of coding updates from CMS, AHA Coding Clinic, and regulatory bodies, integrating them into training materials. Prepare training content, SOPs, and reference guides, maintaining accurate training records.

Provide coaching and group instruction on inpatient coding, DRG assignment, PCS coding, documentation needs, and reimbursement principles. Conduct performance tracking through audits and quality reviews, offering constructive feedback.

Support coders with complex cases, physician documentation education, DRG validation, and coding clarifications. Collaborate with leadership to refine training strategies based on audit findings and performance metrics.

Conduct refresher training on Coding Clinic updates, DRG trends, quality indicators, and compliance. Adhere to all company policies, procedures, and business directives, including those related to work arrangements.

Must possess a Graduate-level education.

Hold a relevant AAPC/AHIMA certification such as CCS, CIC, CPC, or COC. Require a minimum of 8 years of hands-on IP DRG coding experience, with at least 4 years in training, mentoring, quality assurance, or auditing.

Demonstrate solid expertise in IP-DRG methodology, ICD-10-CM/PCS guidelines, Coding Clinic advice, and US Healthcare RCM systems. Possess expert knowledge of ICD-10-CM/PCS coding and DRG assignment.

Exhibit a strong understanding of Clinical Documentation Improvement (CDI) concepts. Familiarity with EMR/EHR systems, compliance standards, and auditing platforms is essential.

Showcase excellent attention to detail and coding accuracy. Possess strong analytical and problem-solving capabilities. Effective communication, presentation, and mentoring skills are required, along with the ability to work independently and manage multiple training initiatives.