[Hiring] DRG Validation Auditor I @R1 RCM

Role Description

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

Qualifications

• 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

Requirements

• This US-based position has a base pay range of $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%

Benefits

• Competitive benefits package