DRGV Auditor II

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

Job summary

An established industry player is seeking a detail-oriented DRGV Auditor II to enhance the patient experience and financial performance of healthcare providers. In this role, you will audit inpatient cases for DRG validation and documentation improvement, utilizing industry-recognized references to support your findings. This position offers opportunities for career growth into client-facing or mentoring roles. Join a dynamic team that values collaboration, continuous learning, and making a meaningful impact in the healthcare sector. If you're passionate about improving patient care and driving success in revenue cycles, this is the perfect opportunity for you.

Benefits

Competitive benefits package

Annual bonus plan

Qualifications

• 3+ years of ICD-10 auditing experience with a focus on inpatient cases.
• Current AHIMA credentials required for this role.

Responsibilities

• Review inpatient medical records for DRG validation.
• Provide rationale and evidence for audit findings.

Skills

ICD-10 Auditing

DRG Reimbursement

Medical Record Review

Documentation Improvement

Education

AHIMA Credentials (RHIA, RHIT, CCS)

Tools

Client EMR Systems

Proprietary Software

Job description

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.

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To learn more, visit: R1RCM.com.

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