Hiring: DRG Manager Company: EXL Location: United States Job Posted Time: 2026-09-11 07:39:58 Employment Type: Remote About the job Experience: •8 years of experience with MS-DRG and APR-DRG, including strong knowledge of ICD-10-CM/PCS and Official Coding Guidelines Required Skills: •Actively facilitate and support execution and ongoing improvement of DRG audit programs, including readmissions and place of service reviews •Partner with cross-functional teams (product, analytics, technology, operations) to support implementation of audit solutions •Oversee day-to-day audit operations, ensuring alignment with SLAs, quality expectations, and productivity goals •Manage inventory, workflow distribution, aging, and throughput to ensure timely completion of audits •Provide direct supervision to auditors, including coaching, feedback, and performance management •Ensure adherence to productivity, quality, and turnaround standards •Monitor regulatory and payer guideline updates, ensuring audits remain compliant and current •Support performance management processes, including one-on-ones, training, and development planning Qualifications: •5–8 years of experience with MS-DRG and APR-DRG, including strong knowledge of ICD-10-CM/PCS and Official Coding Guidelines •Prior experience leading teams or acting in a supervisory capacity •In-depth knowledge of DRG reimbursement methodologies •Knowledge of Medicare, Medicaid, and commercial payer guidelines •Strong analytical skills with ability to identify trends and support decision-making •Effective communication and interpersonal skills •Proficiency in Microsoft Office and audit/reporting systems •Demonstrated capacity to manage audit workflows and team performance to meet operational targets •In-depth knowledge of quality, productivity, and audit accuracy standards •Demonstrated capacity to analyze data and identify trends and improvement opportunities Compensation: •$100,000 - $120,000 / year •Flexible work environment (work from home / hybrid options) •Competitive benefits and rewards package •✨ Competitive benefits package, including healthcare, vision, dental, and 401(k) options Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!