Diagnosis-Related Group (DRG) Manager

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    "ExternalDescriptionStr": "<p>The DRG Manager leads the planning, coordination, and execution of DRG audit activities, ensuring teams meet client SLAs and operational goals. This role oversees inventory, aging, risks, and day-to-day performance, while collaborating cross-functionally to support program success.</p>\n<p>The role directly manages a team of auditors responsible for MS-DRG and APR-DRG reviews, ensuring accurate coding and reimbursement outcomes. The ideal candidate demonstrates strong leadership and analytical skills, along with expertise in Coding Guidelines, Coding Clinic, and audit tools, and a solid understanding of CMS regulations and payer requirements.</p>\n<p><strong>Salary Range: $100,000 – $120,000</strong>&nbsp;<i>(based on experience, skills, and qualifications)</i><br><strong>Location: 100% Remote (U.S.-based)</strong></p>\n<p><strong>Up to 10% annual travel</strong>&nbsp;<i>(for team meetings and limited client onsite engagements.)</i></p>\n<p><strong>A brief coding/auditing assessment may be included as part of the interview process.</strong></p>\n<p>For more information on benefits and what we offer please visit us at&nbsp;<a href=\"https://www.exlservice.com/us-careers-and-benefits\" target=\"_blank\" rel=\"nofollow\">https://www.exlservice.com/us-careers-and-benefits</a></p>\n<p>The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.</p>",
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    "CorporateDescriptionStr": "<div>\n EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit&nbsp;<a href=\"http://www.exlservice.com/\" target=\"_blank\" rel=\"nofollow\">www.exlservice.com</a>.\n</div>\n<div>\n <div>\n  <p class=\"MsoNormal\"><br/></p>\n </div><i>EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.</i>\n</div>\n<div>\n</div>",
    "ExternalPostedStartDate": "2026-05-28T13:34:06+00:00",
    "ExternalQualificationsStr": "<ul>\n <li>CCS, RHIT, RHIA preferred</li>\n <li>5–8 years of experience with MS-DRG and APR-DRG, including strong knowledge of ICD-10-CM/PCS and Official Coding Guidelines</li>\n <li>Prior experience leading teams or acting in a supervisory capacity</li>\n <li>Strong understanding of DRG reimbursement methodologies</li>\n <li>Knowledge of Medicare, Medicaid, and commercial payer guidelines</li>\n <li>Experience working in audit or payment integrity operations</li>\n <li>Strong analytical skills with ability to identify trends and support decision-making</li>\n <li>Effective communication and interpersonal skills</li>\n <li>Proficiency in Microsoft Office and audit/reporting systems</li>\n</ul>\n<p><strong>🔹 Key Skills &amp; Attributes:</strong></p>\n<ul>\n <li>Ability to manage audit workflows and team performance to meet operational targets</li>\n <li>Strong understanding of quality, productivity, and audit accuracy standards</li>\n <li>Ability to analyze data and identify trends and improvement opportunities</li>\n <li>Effective collaboration across clinical, operational, and technical teams</li>\n <li>Ability to support process improvements and workflow enhancements</li>\n <li>Strong organizational and time management skills</li>\n <li>Ability to build relationships and maintain positive team and client interactions</li>\n</ul>\n<p><strong>What We Offer:</strong></p>\n<p>✨ A fast-paced, innovative environment with a team of industry-leading experts</p>\n<p>✨ Hands-on experience with top-tier clients in the healthcare industry</p>\n<p>✨ A strong culture of collaboration, support, and inclusivity</p>\n<p>✨ Competitive benefits package, including healthcare, vision, dental, and 401(k) options</p>",
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