Remote DRG Audit Lead — MS/APR-DRG Coding & Compliance

ExlService Holdings, Inc.; Northern (KY); Hybrid; USD 100,000 - 120,000; Full time

Benefits offered by this job

Remote work (US-based)

Travel up to 10%

Job summary

ExlService Holdings, Inc. is seeking a DRG Manager to lead the planning, coordination, and execution of DRG audit activities, ensuring teams meet client SLAs and operational goals.

You will manage a team of auditors responsible for MS-DRG and APR-DRG reviews, ensuring accurate coding and reimbursement outcomes, while applying Coding Guidelines and CMS regulations. This role offers 100% remote work for US-based candidates, with up to 10% travel for team meetings and limited client onsite

Qualifications

• Experience leading DRG audits and teams.
• Strong knowledge of MS-DRG and APR-DRG reviews.
• Familiarity with Coding Guidelines and Coding Clinic.

Responsibilities

• Lead DRG audit activities and ensure client SLAs.
• Directly manage a team of auditors for DRG reviews.
• Collaborate across functions to support program success.

Skills

Leadership

Auditing

CMS regulations

Coding Guidelines

Analytical skills

Tools

Audit tools

Job description

ExlService Holdings, Inc. is seeking a DRG Manager to lead the planning, coordination, and execution of DRG audit activities, ensuring teams meet client SLAs and operational goals.

You will manage a team of auditors responsible for MS-DRG and APR-DRG reviews, ensuring accurate coding and reimbursement outcomes, while applying Coding Guidelines and CMS regulations. This role offers 100% remote work for US-based candidates, with up to 10% travel for team meetings and limited client onsite