Inpatient Production Auditor

🕒 3 days ago

🇺🇸 United States – Remote

💵 $52k - $97.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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R1 RCM

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

⚕️ Healthcare Insurance

☁️ SaaS

💸 Finance

💰 Private Equity Round on 2024-07

Healthcare Insurance • SaaS • Finance

R1 RCM is a leading provider of revenue cycle management solutions for the healthcare industry. With an emphasis on maximizing financial performance and optimizing patient care, R1 offers a comprehensive platform that integrates data analytics, intelligent technologies, and deep expertise in revenue cycle management. The company assists healthcare providers—ranging from hospitals and health systems to physician and specialty care practices—in capturing revenue opportunities, improving payer and patient cash flows, and ensuring compliance with government regulations. R1 is committed to driving cost reductions and revenue improvements while enhancing the patient experience. Their suite of services includes revenue recovery, clinical integrity, and regulatory navigation, making them a trusted partner for many top healthcare providers.

📋 Description

• 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 • 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 • 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.

🏖️ Benefits

• Competitive benefits package