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R1 RCM

Auditor II

R1 RCM

. Audit inpatient cases for DRG validation and/or documentation improvement .

Posted 9/17/2026full-timeRemote • United StatesMid-LevelSenior💰 $52,025 - $97,529 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in auditing inpatient cases for DRG validation and documentation improvement, utilizing ICD-10 guidelines and industry standards. Proficient in reviewing medical records and providing evidence-based recommendations to ensure compliance and accuracy in coding.

Highest-signal resume keywords
ICD-10 AuditingDRG ReimbursementAHIMA Credential (RHIA, RHIT, CCS)Acute Inpatient Auditing ExperienceDocumentation Improvement

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
DRG ValidationMedical Record ReviewCoding ComplianceEvidence-Based RecommendationsDocumentation Standards
Tools & Technologies
Proprietary SoftwareClient EMR Systems
Certifications & Qualifications
AHIMA RHIAAHIMA RHITAHIMA CCS
Industry Keywords
ICD-10 Official GuidelinesAHIMA Standards of Ethical CodingAHIMA Practice BriefsAHA Coding Clinics

About the role

Key responsibilities & impact
  • Audit inpatient cases for DRG validation and/or documentation improvement
  • Review accounts in proprietary software and client EMR systems to validate accounts
  • Review inpatient medical records for validation of DRG assignment
  • Provide detailed rationale and supporting evidence for recommendations and findings
  • Use industry-recognized references, including 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

What you’ll need
  • Current AHIMA credential of one or more of: RHIA, RHIT, and/or CCS
  • 3+ years of ICD-10 auditing and DRG reimbursement experience
  • Recent acute inpatient auditing experience

Benefits

Comp & perks
  • Annual bonus plan at a target of 5.00%
  • Competitive benefits package
  • Opportunities to constantly learn, collaborate across groups, and explore new career paths
  • Opportunities to contribute, think boldly, and create meaningful work
  • Reasonable accommodation support for applicants with disabilities