DRG-V Auditor I

Financeroles; United States; Remote; USD 48.000 - 81.000; Vollzeit

Benefits dieser Stelle

Competitive benefits package

Zusammenfassung

R1 RCM Inc. in the United States is seeking a DRG Validation Auditor I to audit inpatient cases for DRG validation and documentation improvement, using proprietary software and client EMR systems.

You will review inpatient records, provide detailed rationale and evidence for findings, and reference ICD-10 guidelines, AHIMA standards, and AHA coding clinics as needed. This is a US-based role with a base pay range and eligible annual bonus.

Qualifikationen

• AHIMA credentials RHIA, RHIT, or CCS required.
• 3+ years ICD-10 coding and DRG auditing experience.
• Experience with Epic, Cerner and Meditech EMR systems.

Aufgaben

• Review inpatient records to validate DRG assignments.
• Provide detailed rationale and evidence for findings.
• Reference ICD-10 guidelines and AHIMA/AHA coding resources.

Kenntnisse

RHIA

RHIT

CCS

Ausbildung

AHIMA certification (RHIA/RHIT/CCS)

Tools

Epic

Cerner

Meditech

Jobbeschreibung

We are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. We deliver proven ROI across the entire revenue cycle – front, middle, and back office. This enables our customers to achieve an optimal revenue cycle – one that promotes patient satisfaction and improves financial performance.

As our DRG Validation Auditor I, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in proprietary software and client EMR systems to validate the accounts.

Every day in this role, you will:

• Review inpatient medical records for validation of DRG assignment
• Provide detailed rationale and supporting evidence for the recommendation and findings
• Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics

To succeed in this role, you must have:

• Current AHIMA credentials of one or more of the following are required: RHIA, RHIT, and/or CCS
• 3+ years of ICD-10 coding and DRG reimbursement experience, with recent acute inpatient auditing experience
• Experience with multiple EMR Systems such as Epic, Cerner, and Meditech

For this US-based position, the base pay range is $48,131.00 - $81,225.49 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 5.00%

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

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. We go beyond expectations in everything we do. 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.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. 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. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

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To learn more, visit: R1RCM.com

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