Inpatient DRG Validation Auditor I

R1-Rc; United States; Remote; USD 48,000 - 81,000; Full time

Job summary

R1 RCM Inc. seeks a DRG Validation Auditor I to review inpatient records for DRG validation and documentation improvement.

You will use proprietary software and client EMR systems to validate accounts and provide rationale with supporting evidence from AHIMA guidelines and AHA Coding Clinics. Requirements include AHIMA credentials (RHIA, RHIT, CCS) and 3+ years of ICD-10 coding and DRG experience in acute inpatient settings, with familiarity across EMR platforms such as Epic, Cerner, and

Qualifications

• Current AHIMA credentials RHIA, RHIT or CCS.
• 3+ years of ICD-10 coding and DRG reimbursement experience.
• Experience with multiple EMR systems (Epic, Cerner, Meditech).

Responsibilities

• Review inpatient records for validation of DRG assignment.
• Provide detailed rationale and supporting evidence for findings.
• Reference AHIMA guidelines and AHA Coding Clinics in reviews.

Skills

ICD-10 coding

DRG reimbursement experience

Acute inpatient auditing

Education

RHIA

RHIT

CCS

Tools

Epic

Cerner

Meditech

Job description

R1 RCM Inc. seeks a DRG Validation Auditor I to review inpatient records for DRG validation and documentation improvement.

You will use proprietary software and client EMR systems to validate accounts and provide rationale with supporting evidence from AHIMA guidelines and AHA Coding Clinics. Requirements include AHIMA credentials (RHIA, RHIT, CCS) and 3+ years of ICD-10 coding and DRG experience in acute inpatient settings, with familiarity across EMR platforms such as Epic, Cerner, and