Inpatient Production Auditor (CCS Required)

R1 RCM; United States; Remote; USD 46,000 - 66,000; Full time

Job summary

Join a forward-thinking company as an Inpatient Production Auditor, where your skills in auditing and coding will be essential in transforming patient experiences. In this role, you will audit inpatient cases and validate medical records, utilizing your analytical expertise to ensure accurate claim reimbursements. This position offers a unique opportunity to work in a dynamic environment, adapt to changing priorities, and contribute to meaningful solutions in healthcare. With a focus on collaboration and continuous learning, you will play a vital role in improving patient care while enjoying a competitive benefits package. If you are detail-oriented and ready to make a difference, this is the perfect opportunity for you.

Benefits

Competitive benefits package

Opportunities for career growth

Collaborative work environment

Flexible work environment

Qualifications

• Must have current AHIMA CCS credentials.
• Experience with EMR systems like Epic, Cerner, and Meditech is required.

Responsibilities

• Audit inpatient cases for DRG validation and review medical records.
• Evaluate claim reimbursement potential based on coding assignment.

Skills

Strong verbal and written communication skills

Attention to detail

Organizational skills

Self-starter attitude

Education

AHIMA CCS credentials

Tools

Epic

Cerner

Meditech

Microsoft Suite

Microsoft Access

Job description

Inpatient Production Auditor (CCS Required)

Inpatient Production Auditor (CCS Required)

Apply locations Remote, USA time type Full time posted on Posted 7 Days Ago job requisition id R250000000932

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Inpatient Production Auditor, you will be responsible for auditing inpatient cases and reviewing inpatient medical records for validation while maintaining excellent organizational skills and strong attention to detail. Every day, you will be expected to play an intricate part in providing analytical expertise for the validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be detail-oriented and flexible in a work environment.

Every day in this role you will:

• Audit inpatient cases for DRG validation
• 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
• Evaluate claim reimbursement potential based on coding assignment

To be successful in this role you must have:

• Current AHIMA CCS credentials required
• Recently credentialed encouraged to apply
• Strong verbal and written communication skills
• Experience with multiple EMR Systems such as Epic, Cerner, and Meditech
• Strong computer skills, proficient in Microsoft Suite (Microsoft Access experience is a plus)
• Must be able to organize workflow, prioritize tasks, and meet deadlines
• Excellent organizational skills and strong attention to detail
• Ability to work in a flexible environment, adapting to changing priorities
• Self-starter who is eager to learn, and can work independently and in a dynamic environment

For this US-based position, the base pay range is $46,260.02 - $65,797.38 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

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.