Remote DRG Auditor and Coding Compliance Analyst

R1 RCM, Inc.; Boise (ID); Remote; USD 29,000 - 44,000; Full time

Job summary

R1 RCM Inc. in the United States is seeking a DRG Associate Auditor (Analyst) to validate coding updates that affect DRGs and may impact reimbursement. You will pre-screen cases for the DRG Validation Auditing Team and document evidence-based recommendations.

Candidates should have recent acute inpatient coding experience and hold an AHIMA credential (RHIA, RHIT, or CCS). Strong communication and proficiency with EMR systems like Epic, Cerner, and Meditech are essential.

Qualifications

• Four+ years of ICD-10 coding and DRG reimbursement experience.
• Recent acute inpatient coding experience.
• AHIMA credential such as RHIA, RHIT, or CCS.
• Experience with multiple EMR systems (Epic, Cerner, Meditech).
• Strong verbal and written communication skills.

Responsibilities

• Validate coding updates impacting DRG on claims.
• Provide rationale and supporting evidence for recommendations.
• Utilize industry references to support findings.
• Audit a specific rule set and pre-screen opportunities for the DRG Validation Auditing Team.

Skills

ICD-10 coding

DRG reimbursement

AHIMA credential

EMR systems

Communication

Office tools

Prioritization

Team collaboration

Education

High school diploma

Tools

Epic

Cerner

Meditech

Job description

R1 RCM Inc. in the United States is seeking a DRG Associate Auditor (Analyst) to validate coding updates that affect DRGs and may impact reimbursement. You will pre-screen cases for the DRG Validation Auditing Team and document evidence-based recommendations.

Candidates should have recent acute inpatient coding experience and hold an AHIMA credential (RHIA, RHIT, or CCS). Strong communication and proficiency with EMR systems like Epic, Cerner, and Meditech are essential.