DRG-V Auditor I

Summary

R1 RCM provides technology-driven solutions that improve healthcare providers’ patient experience and financial performance across the revenue cycle. The DRG-V Auditor I reviews inpatient cases and medical records to validate DRG assignments or identify documentation improvement opportunities, providing evidence-based findings supported by industry coding references.

Responsibilities

• 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

Skills

• 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

Qualifications

Must Haves

• 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

Benefits

• Eligible to participate in the annual bonus plan at a target of 5.00%
• The opportunity to constantly learn, collaborate across groups and explore new paths for your career
• A competitive benefits package