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DRGV Auditor II
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Job Description
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.
Every day in this role you will: 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 To succeed in this role, you must have: 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 For this US-based position, the base pay range is $52,025.
00 - $97,528. 69 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. Ou
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