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R1 RCM Inc.
US Remote, United States (remote)
16 days ago
R1 RCM Inc.
US Remote, United States
(remote)
16 days ago
Job Type
Full-Time
Salary
$80,000.00 - $93,000.00
Industry
Consultant/Vendor
Required Travel
0-10%
Salary - Type
Yearly Salary

Description

At R1 RCM we are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers.

We deliver proven ROI across the entire revenue cycle – front, middle and back office. This enables our customers to achieve an optimal revenue cycle – one that promotes patient satisfaction and improves financial performance.

As the Inpatient Coding and Documentation 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

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  
  • ICD-10 auditing and DRG reimbursement experience, with recent acute inpatient auditing 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 
  • Experience with multiple EMR Systems such as Epic, Cerner, and Meditech 
Job ID: 72329317

Please refer to the company's website or job descriptions to learn more about them.

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