Associate Auditor (Analyst)

R1 RCM•Remote, NC, NC
•$21 - $32•Onsite

About The Position

As a DRG Associate Auditor (Analyst) at R1, you will validate coding updates that may affect the diagnosis-related group on a claim and result in additional reimbursement, coding compliance, or client education. You will evaluate coding opportunities, document evidence-based recommendations, and pre-screen cases for the DRG Validation Auditing Team. The role requires recent acute inpatient coding experience and at least one current AHIMA credential: CCS, RHIT, or RHIA. The position is based in an on-site corporate or facility environment with moderate noise and a climate-controlled, well-lit workspace. The role includes minimal travel or travel as required. The US-based hourly pay range is $20.87–$32.20; individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. R1 describes opportunities to learn, collaborate, explore career paths, and contribute meaningful work, and states that it offers a competitive benefits package without specifying individual benefits.

Requirements

  • High school diploma or equivalent experience.
  • Four or more years of ICD-10 coding and DRG reimbursement experience, including recent acute inpatient coding experience.
  • Current AHIMA credential, such as RHIA, RHIT, and/or CCS.
  • Experience with multiple electronic medical record systems, such as Epic, Cerner, and Meditech.
  • Strong verbal and written communication skills.
  • Proficiency with Microsoft Office and collaboration tools, including Word, Excel, Outlook, and Teams.
  • Ability to prioritize and manage competing responsibilities effectively.
  • Results-driven approach focused on achieving goals and delivering outcomes.
  • Forward-thinking team player with a collaborative mindset.
  • Passing score of 80% on the Auditor I assessment.

Responsibilities

  • Validate coding updates that affect the diagnosis-related group on a claim and may result in additional reimbursement, coding compliance, or client education.
  • Provide detailed rationale and supporting evidence for recommendations.
  • Use industry-recognized references to support findings.
  • Audit a specific rule set and pre-screen opportunities for the DRG Validation Auditing Team.
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