R1 RCM
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.
DRG Validation Auditor I
🔥 0 minutes ago
🇺🇸 United States – Remote
💵 $48.1k - $81.2k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
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R1 RCM
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
• 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
🎯 Requirements
• 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 auditing experience • Experience with multiple EMR Systems such as Epic, Cerner, and Meditech
🏖️ Benefits
• Competitive benefits package
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