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DRG Validation Auditor I

Company

R1 RCM

Location

Boise, United States

Type

Full-time

We are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. We deliver proven ROI across the entire revenue cycle – front, middle, and back office. This enables our customers to achieve an optimal revenue cycle – one that promotes patient satisfaction and improves financial performance.

As our **DRG Validation Auditor I** , your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in proprietary software and client EMR systems to validate the accounts.

**Every day in this role, you will:**

+ 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 ...

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