Associate Auditor (Analyst)

Remote, USA

Full time

R260000008045

At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers.

All Together Better defines our culture and the way we work. We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what’s next for R1 and the future of healthcare.

As our DRG Associate Auditor (Analyst), you will validate coding updates that can affect the diagnosis-related group on a claim and result in additional reimbursement or coding compliance and education for the client. Every day, you will evaluate coding opportunities, document evidence-based recommendations, and pre-screen cases for the DRG Validation Auditing Team. To thrive in this role, you must bring recent acute inpatient coding experience and have at least one of the following certifications: CCS, RHIT, or RHIA.

Here’s what you will experience working as a DRG Associate Auditor (Analyst):

• Validate coding updates that will impact the diagnosis-related group on a claim and result in either additional reimbursement or coding compliance and education for the client.

• Provide detailed rationale and supporting evidence for recommendations.

• Utilize industry-recognized references to support findings.

• Audit a specific rule set and pre-screen opportunities for the DRG Validation Auditing Team.

Required Skills:

• High school diploma or equivalent experience.

• Four or more years of ICD-10 coding and DRG reimbursement experience, including recent acute inpatient coding experience.

• Current AHIMA credential, such as RHIA, RHIT, and/or CCS.

• Experience with multiple electronic medical record systems, such as Epic, Cerner, and Meditech.

• Strong verbal and written communication skills.

• Proficiency with Microsoft Office and collaboration tools, including Word, Excel, Outlook, and Teams.

• Ability to prioritize and manage competing responsibilities effectively.

• Results-driven approach with a focus on achieving goals and delivering outcomes.

• Forward-thinking team player with a collaborative mindset.

Assessment Requirement:

• Passing score of 80% on the Auditor I assessment.

Physical Demands:

• Writing

• Driving

• Reading

• Pushing/Pulling

• Walking

• Extended Computer Usage

• Sitting

• Carrying

• Bending

• Lifting (5–10 lbs)

• Standing

• Traveling (minimal or as required)

For this US-based position, the base pay range is $20.87 - $32.20 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package. (http://go.r1rcm.com/benefits)

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)

To learn more, visit: R1RCM.com

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R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com .