Remote DRG Auditor II — Inpatient Validation Pro

R1 RCM, Inc.; Chicago (IL); Remote; USD 52,000 - 98,000; Full time

Benefits offered by this job

Annual bonus 5%

Job summary

R1 RCM, Inc. is seeking a DRGV Auditor II to audit inpatient cases for DRG validation and documentation improvement. You will review accounts in proprietary software and client EMR systems, with growth potential into Lead Auditor and Mentor roles.

You will review inpatient charts, justify findings with clear evidence, and reference ICD-10 guidelines and AHIMA standards to ensure compliant coding practices.

Qualifications

• Current AHIMA credentials of RHIA, RHIT, and/or CCS are required.
• 3+ years of ICD-10 auditing and DRG reimbursement experience, with recent acute inpatient auditing experience.

Responsibilities

• 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 findings (ICD-10 Guidelines, AHIMA Standards, AHIMA Practice Briefs, AHA Coding Clinics).

Skills

DRG auditing

ICD-10 auditing

Inpatient auditing

Documentation

Education

RHIA

RHIT

CCS

Tools

Proprietary software

EMR systems

Job description

R1 RCM, Inc. is seeking a DRGV Auditor II to audit inpatient cases for DRG validation and documentation improvement. You will review accounts in proprietary software and client EMR systems, with growth potential into Lead Auditor and Mentor roles.

You will review inpatient charts, justify findings with clear evidence, and reference ICD-10 guidelines and AHIMA standards to ensure compliant coding practices.