• DRG Validation Coding Auditor I

    R1 RCMBoise, ID 83756

    Job #2647983529

  • As the Inpatient Coding and Documentation 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. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role.

    Everyday 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 coding and DRG reimbursement experience, with recent acute inpatient coding experience

    Nice to have

    • Additional Clinical Documentation Improvement (CDI) credentials such as, CDIP and/or CCDS preferred

    • Previous experience training and mentoring coders and/or auditors is highly desired

    • Strong verbal and written communication skills

    • Experience with multiple EMR Systems such as Epic, Cerner, and Meditech, etc.

    For this US-based position, the base pay range is $40,305.57 - $63,822.00 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

    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. (~~~)

    R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

    If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at ~~~ for assistance.

    CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (~~~)

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    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.

    Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally and is traded on the Nasdaq stock exchange under the symbol "RCM."

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