DRG Validation Auditor I

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 DRG Validation Auditor I , 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. Every day in this role, you will: Review inpatient medical records for validation of DRG assignment Provide detailed rationale and supporting evidence for the 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 coding and DRG reimbursement experience, with recent acute inpatient auditing experience Experience with multiple EMR Systems such as Epic, Cerner, and Meditech For this US-based position, the base pay range is $48,131.00 - $81,225.49 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%. 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 View phone number on click.appcast.io for assistance. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( #J-18808-Ljbffr R1 RCM