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DRGV Auditor II

R1 RCM · IL · Remote available · $52,025–$97,529 a year · Full time

Posted Sep 17, 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 a finding you wrote where the rationale had to be airtight. How did you support it?

What they are checking: Whether they cite Coding Clinic and guidelines clearly, since findings must hold up with clients.

Tell me about a time a client pushed back on your audit finding.

What they are checking: Whether they can defend findings respectfully and change their view when evidence warrants.

This role can grow into a Lead Auditor or Mentor role. How would you help a newer auditor improve?

What they are checking: Whether they can teach and explain their reasoning, which those next roles require.

What would you do

The documentation supports a condition but only through clinical indicators, not a stated diagnosis. What do you recommend?

What they are checking: Whether they know when a compliant query is needed versus when coding would be inappropriate.

You work across Epic, Cerner and other EMRs. How do you find what you need quickly in an unfamiliar system?

What they are checking: Whether they can adapt their review approach to different record layouts without losing accuracy.

How do you balance audit volume expectations with the depth each case needs?

What they are checking: Whether they can meet productivity while keeping accuracy high on complex cases.

About the work

Walk me through how you validate a DRG on an inpatient record, from principal diagnosis to final assignment.

What they are checking: Whether they follow a disciplined review of principal diagnosis, CC/MCC and procedures against the record.

How do you decide whether a secondary diagnosis meets the criteria to be reported?

What they are checking: Whether they apply UHDDS and ICD-10 Official Guidelines rather than coding everything mentioned.

How do you apply AHIMA Practice Briefs on compliant querying in your audit recommendations?

What they are checking: Whether they keep their query recommendations non-leading and defensible.

What does the AHIMA Standards of Ethical Coding mean for your day-to-day decisions as an auditor?

What they are checking: Whether they put accurate coding ahead of maximizing reimbursement.

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The full job description

As published by R1 RCM.

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our DRGV Auditor II, 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. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Every day in this role you will: • Review inpatient medical records for validation of DRG assignment • Provide detailed rationale and supporting evidence for 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 auditing and DRG reimbursement experience, with recent acute inpatient auditing experience For this US-based position, the base pay range is $52,025.00 - $97,528.69 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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