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DRG-V Auditor I

R1 RCM · IL · Remote available · $48,131–$81,225 a year · Full time

Posted Sep 18, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about your recent acute inpatient auditing experience. What kinds of cases did you review most?

What they are checking: Whether their experience is recent and deep enough for DRG validation, which the posting requires.

Tell me about a time you were wrong on a coding decision. How did you find out and what did you change?

What they are checking: Whether they learn from mistakes, which builds the accuracy auditors need.

How do you stay focused and accurate when reviewing records remotely all day?

What they are checking: Whether they have work habits that hold quality steady over long review sessions.

Why does DRG accuracy matter beyond the payment amount?

What they are checking: Whether they understand that coded data affects quality reporting and compliance risk too.

What would you do

You find a CC that drives the DRG but the documentation is weak. What do you do?

What they are checking: Whether they recommend a query or removal based on evidence rather than leaving a risky code.

A record is in an EMR you have never used. How do you get up to speed?

What they are checking: Whether they can adapt quickly to Epic, Cerner and other systems clients use.

About the work

Walk me through how you would review an inpatient record to confirm the assigned DRG.

What they are checking: Whether they work through principal diagnosis, secondary diagnoses and procedures in a reliable order.

How do you choose the principal diagnosis when two conditions both seem to have caused the admission?

What they are checking: Whether they apply the official guidelines for co-equal diagnoses and circumstances of admission.

How do you write a rationale so the client can follow your reasoning without calling you?

What they are checking: Whether their written findings are clear and cite the right references.

Which references do you rely on most when a coding question is unclear?

What they are checking: Whether they know the ICD-10 Official Guidelines, AHA Coding Clinic and AHIMA practice briefs.

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The full job description

As published by R1 RCM.

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 Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics To succeed in this role, you must have: • 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 For this US-based position, the base pay range is $48,131.00 - $81,225.49 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a target of 5.00% 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. 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 To learn more, visit: R1RCM.com Visit us on Facebook

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