DRG Auditor Analyst - Healthcare Analytics & Compliance

R1 RCM, Inc.; United States; Remoto; USD 29.000 - 44.000; Tempo pieno

Descrizione del lavoro

R1 RCM, Inc. is seeking a DRG Associate Auditor (Analyst) to 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.

Must have four+ years of ICD-10 coding and DRG experience, acute inpatient coding exposure, and AHIMA credentials (RHIA/RHIT/CCS). On-site in the United States with a competitive benefits package.

Competenze

• Four or more years of ICD-10 coding and DRG reimbursement experience, including recent acute inpatient coding experience.
• Current AHIMA credential, such as RHIA, RHIT, or CCS.
• Experience with multiple electronic medical record systems (EMR) like Epic, Cerner, and Meditech.

Mansioni

• 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.
• Provide detailed rationale and supporting evidence for recommendations.
• Utilize industry-recognized references to support findings.
• Audit a specific rule set and pre-screen opportunities for the DRG Validation Auditing Team.

Conoscenze

ICD-10 coding

DRG auditing

Verbal communication

Written communication

Team collaboration

Formazione

High school diploma or equivalent

Strumenti

Epic

Cerner

Meditech

Descrizione del lavoro

R1 RCM, Inc. is seeking a DRG Associate Auditor (Analyst) to 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.

Must have four+ years of ICD-10 coding and DRG experience, acute inpatient coding exposure, and AHIMA credentials (RHIA/RHIT/CCS). On-site in the United States with a competitive benefits package.