DRGV Auditor II

R1 RCM; United States; On-site; USD 51,000 - 96,000; Full time

Job summary

A leading provider of healthcare revenue solutions seeks a 'DRGV Auditor II' to validate inpatient cases. The role involves auditing medical records and providing evidence-based recommendations. Candidates must have AHIMA credentials and extensive ICD-10 auditing experience to ensure compliance and enhance clinical documentation.

Benefits

Competitive benefits package

Annual bonus plan

Opportunity for growth within the company

Qualifications

• 3+ years of ICD-10 auditing experience required.
• Recent acute inpatient auditing experience is preferred.

Responsibilities

• Review inpatient medical records for DRG validation.
• Provide rationale for findings and recommendations.
• Utilize industry references for audit findings.

Skills

ICD-10 auditing

Documentation improvement

Evidence-based recommendations

Education

AHIMA credentials (RHIA, RHIT, CCS)

Job description

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At R1 RCM 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 DRGV Auditor II, 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. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role.

Every Day In This Role You Will

• Review inpatient medical records for validation of DRG assignment
• Provide detailed rationale and supporting evidence for 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 auditing and DRG reimbursement experience, with recent acute inpatient auditing experience
  
  

For this US-based position, the base pay range is $51,700.00 - $95,429.25 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.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

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Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  Hospitals and Health Care

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