DRG Trainer

The role is for a Diagnosis Related Group (DRG) or All Patient Refined DRG auditor who will serve as the primary expert guiding auditors and analysts toward compliance excellence. In this position, the incumbent will mentor junior staff, review coding cases, and ensure adherence to official guidelines and standards set by CMS, OIG, and AHIMA. A key responsibility will be creating and updating best practice resources such as audit documentation templates and communication materials for payors. The trainer will also lead cross-functional teams in resolving coding issues, improve process metrics, and proactively identify opportunities to enhance accuracy and efficiency. As a Quality Analyst, the candidate will perform required audits to maintain or increase audit yields and support audit readiness initiatives. The position emphasizes continuous improvement, data analysis, and clear communication to drive superior outcomes in healthcare reimbursement environments. This is a fully remote, U.S.-based full-time role that may require up to 10% annual travel for team meetings or client engagements. Candidates should expect a brief coding or auditing assessment as part of the interview process. EXL offers competitive compensation, including a salary range of $85,000 to $110,000 based on experience, skills, and qualifications, along with comprehensive benefits and professional development opportunities. The company encourages applicants to explore its benefits and culture further through its official careers page. This opportunity allows experienced auditors to elevate their impact by shaping quality practices and training across teams nationwide.

Source: Himalayas