DRGV Auditor II
About The Position
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our DRGV Auditor II, 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. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role.
Requirements
- Current AHIMA credentials of one or more of the following are required: RHIA, RHIT, and/or CCS
- 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 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
Benefits
- annual bonus plan
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
