Job description
Why EXL?
At EXL, we believe in fostering an environment where our employees can learn, grow, and succeed. We provide industry-leading training, career development opportunities, and a competitive benefits package to ensure you can focus on what you do best—delivering excellence in DRG auditing. If you're looking for a role where you can make a real impact while maintaining work-life balance, this is it!
🔍What You’ll Do:
✔Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement.
✔Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
✔Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations.
✔Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits.
✔Meet or exceed EXL’s quality and productivity standards, including strong uphold rates for appeals.
✔Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge.
✔Adhere to HIPAA and EXL policies and procedures to ensure data security and regulatory compliance.
A brief coding/auditing assessment may be included as part of the interview process
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.