DRG Audit Analyst - ICD-10 Coding & Reimbursement

R1 RCM, Inc.; 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

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.