DRG-V Auditor I

About the role

At R1, we're transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers.

All Together Better defines our culture and the way we work. We're a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what's next for R1 and the future of healthcare.

As a DRGV Auditor, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement.

Essential Responsibilities

• Audit inpatient cases for DRG validation and/or documentation improvement: Review inpatient medical records for validation of DRG assignment
• Provide detailed rationale and supporting evidence for recommendations 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

Requirements

• Bachelor's - Equivalent experience will be considered in lieu of a degree
• Minimum of 2 years of ICD-10 coding and DRG reimbursement experience, with recent acute inpatient coding experience
• Current AHIMA credentials such as RHIA, RHIT, and/or CCS required

Skills

• Strong verbal and written communication skills
• Strong computer skills and familiarity with Microsoft products: Word, Excel, Outlook, Teams, etc.
• Recent auditing experience in an acute care setting preferred
• Experience with multiple EMR systems such as Epic, Cerner, and Meditech preferred

Pay and benefits

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%

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.