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R1 RCM

DRG Validation Auditor I

R1 RCM

DRG 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

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Auditing Inpatient Cases for DRG Validation and Documentation Improvement, with a strong background in ICD-10 Coding and DRG Reimbursement. Proficient in utilizing EMR Systems and providing detailed rationale for findings based on industry-recognized references.

Highest-signal resume keywords
ICD-10 CodingDRG ReimbursementAcute Inpatient AuditingEMR Systems ExperienceAHIMA Credentials

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
DRG ValidationDocumentation ImprovementAccount ReviewDetailed Rationale DevelopmentICD-10 CodingDRG ReimbursementAcute Inpatient Auditing
Soft Skills
Analytical ThinkingAttention to DetailCommunication Skills
Tools & Technologies
EpicCernerMeditechProprietary Software
Certifications & Qualifications
RHIARHITCCS
Industry Keywords
Inpatient CasesEMR SystemsIndustry-Recognized References

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