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DRG Validation Auditor I
R1 RCMDRG Validation Auditor I role focused on auditing inpatient cases for DRG validation in a healthcare context. Providing evidence and rationale for findings while utilizing proprietary software and EMR systems.
Posted 7/10/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $48,131 - $81,225 per yearWebsite
About the role
Key responsibilities & impact- Auditing inpatient cases for DRG validation and/or documentation improvement
- Reviewing accounts in proprietary software and client EMR systems to validate the accounts
- Provide detailed rationale and supporting evidence for recommendations and findings
- Utilize industry-recognized references to support review findings
Requirements
What you’ll need- 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
Comp & perks- Eligible to participate in annual bonus plan at a target of 5.00%
- Competitive benefits package
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
DRG ValidationDocumentation ImprovementAccount ReviewDetailed Rationale DevelopmentICD-10 CodingDRG ReimbursementAcute Inpatient Auditing
Soft Skills
Analytical ThinkingAttention to DetailCommunication Skills
Certifications
RHIARHITCCS