Inpatient Production Auditor

About the role

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 combine 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.

Responsibilities

• Audit inpatient cases for DRG validation
• Review inpatient medical records for validation of DRG assignment
• Provide detailed rationale and supporting evidence for the recommendation and findings
• Evaluate claim reimbursement potential based on coding assignment

Requirements

• Current AHIMA credentials such as RHIA, RHIT, and/or CCS required
• Recently credentialed, encouraged to apply
• Strong verbal and written communication skills
• Experience with multiple EMR Systems such as Epic, Cerner, and Meditech
• Strong computer skills, proficient in Microsoft Suite (Microsoft Access experience is a plus)
• Must be able to organize workflow, prioritize tasks, and meet deadlines
• Excellent organizational skills and strong attention to detail
• Ability to work in a flexible environment, adapting to changing priorities
• Self-starter who is eager to learn, and can work independently and in a dynamic environment

Qualifications

• Currently employed with R1 RCM Inc.

Skills

• Knowledge of ICD-10 Official Guidelines for Coding and Reporting
• Knowledge of AHIMA Standards of Ethical Coding
• Knowledge of AHIMA Practice Briefs related to compliant querying
• Knowledge of AHA Coding Clinics

Benefits

• Base pay range: $52,250.00 - $97,528.69 per year
• Eligible to participate in annual bonus plan at a target of 5.00%

Pay

• Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training

Schedule

• This US-based position is full-time

Company Commitment to Equal Employment Opportunity

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.

Contact Information

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

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