DRG Auditor Analyst: ICD-10 Coding Expert

R1 RCM, Inc.; North Carolina; 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 that affect the diagnosis-related group on a claim, potentially increasing reimbursement and ensuring coding compliance for clients.

You will assess coding opportunities, document evidence-based recommendations, and pre-screen cases for the DRG Validation Auditing Team. Qualifications include 4+ years in ICD-10 coding and DRG reimbursement, experience with Epic, Cerner or Meditech, and proficiency in

Qualifications

• 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 (Epic, Cerner, Meditech).
• Proficiency with Microsoft Office and collaboration tools (Word, Excel, Outlook, Teams).
• Passing score of 80% on the Auditor I assessment.

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

ICD-10 coding

DRG reimbursement experience

Audit/analytical

Attention to detail

Education

High school diploma or equivalent

Tools

Epic

Cerner

Meditech

Word

Excel

Outlook

Teams

Job description

R1 RCM, Inc. is seeking a DRG Associate Auditor (Analyst) to validate coding updates that affect the diagnosis-related group on a claim, potentially increasing reimbursement and ensuring coding compliance for clients.

You will assess coding opportunities, document evidence-based recommendations, and pre-screen cases for the DRG Validation Auditing Team. Qualifications include 4+ years in ICD-10 coding and DRG reimbursement, experience with Epic, Cerner or Meditech, and proficiency in