Associate Auditor (Analyst)

R1 RCM; Clayton (NC); On-site; USD 29,000 - 44,000; Full time

Job summary

R1 RCM, Inc. is seeking a DRG Associate Auditor (Analyst) to validate coding updates affecting DRGs and potential reimbursements, with pre-screening for the DRG Validation Auditing Team. The role requires experience with ICD-10 coding and inpatient coding across EMR systems.

The position emphasizes documentation of evidence-based recommendations, data accuracy, and collaboration with the DRG team. Travel may be required, and the base pay is hourly.

Qualifications

• Four or more years of ICD-10 coding and DRG reimbursement experience, including recent acute inpatient coding.
• Experience with multiple electronic medical record systems, such as Epic, Cerner, and Meditech.
• Proficiency with Microsoft Office and collaboration tools, including Word, Excel, Outlook, and Teams.

Responsibilities

• Validate coding updates that will impact the diagnosis-related group on a claim and result in either additional reimbursement or coding compliance and education for the client.
• Audit a specific rule set and pre-screen opportunities for the DRG Validation Auditing Team.

Skills

Auditing

Coding validation

Data documentation

Education

High school diploma or equivalent

Tools

Epic

Cerner

Meditech

MS Office

Teams

Job description

At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers.

We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what’s next for R1 and the future of healthcare.

As our DRG Associate Auditor (Analyst), you will validate coding updates that can affect the diagnosis-related group on a claim and result in additional reimbursement or coding compliance and education for the client. Every day, you will evaluate coding opportunities, document evidence-based recommendations, and pre-screen cases for the DRG Validation Auditing Team. Here’s what you will experience working as a DRG Associate Auditor (Analyst):

• Validate coding updates that will impact the diagnosis-related group on a claim and result in either additional reimbursement or coding compliance and education for the client.
• Audit a specific rule set and pre-screen opportunities for the DRG Validation Auditing Team.

High school diploma or equivalent experience.

• Four or more years of ICD-10 coding and DRG reimbursement experience, including recent acute inpatient coding experience.
• Experience with multiple electronic medical record systems, such as Epic, Cerner, and Meditech.
• Proficiency with Microsoft Office and collaboration tools, including Word, Excel, Outlook, and Teams.
• Passing score of 80% on the Auditor I assessment.

Writing

• Extended Computer Usage
• Traveling (minimal or as required)

For this US-based position, the base pay range is $20.87 - $32.20 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at for assistance.

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