Diagnosis-Related Group (DRG) Auditor III, Healthcare -Remote US

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    "ExternalDescriptionStr": "<p><strong>Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment?</strong> EXL USA Healthcare is seeking a <strong>DRG Auditor III</strong> to join our team! This role offers <strong>a fully remote work experience</strong> with <strong>possible 10%</strong>&nbsp;<strong> travel per year</strong>. The rest of the time, you'll enjoy the flexibility of working from your home office.</p>\n<p><strong>Why EXL?</strong></p>\n<p>At EXL, we believe in fostering an environment where our employees can <strong>learn, grow, and succeed</strong>. We provide <strong>industry-leading training, career development opportunities, and a competitive benefits package</strong> 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 <strong>make a real impact while maintaining work-life balance</strong>, this is it!</p>\n<p><strong>💰 Salary Range: $70,000 – $110,000</strong> <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> <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 <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": "2026-06-04T16:28:56+00:00",
    "ExternalQualificationsStr": "<p><strong>What We’re Looking For:</strong></p>\n<p>🔹 <strong>Education &amp; Credentials:</strong></p>\n<ul>\n <li>Minimum <strong>High School Diploma</strong> (Higher education preferred).</li>\n <li><strong>CCS, RHIA, or RHIT</strong> credential (Multiple credentials preferred).</li>\n</ul>\n<p>🔹 <strong>Experience &amp; Expertise:</strong></p>\n<ul>\n <li><strong>4+ years of MS-DRG/APR-DRG coding experience</strong> with a deep understanding of <strong>AHA Coding Guidelines</strong> and <strong>DRG reimbursement methodologies</strong>.</li>\n <li>Prior experience in <strong>DRG retrospective overpayment identification auditing</strong> is highly desirable.</li>\n <li>Strong proficiency with <strong>DRG encoder tools</strong> (3M, Webstrat).</li>\n</ul>\n<p>🔹 <strong>Key Skills &amp; Attributes:</strong><br>\n ✅ <strong>Expert-level inpatient coding knowledge</strong> with an in-depth understanding of <strong>ICD-10-CM/PCS coding guidelines</strong>.<br>\n ✅ Self-motivated and able to <strong>work independently in a remote environment</strong> while maintaining high performance.<br>\n ✅ Exceptional <strong>time management, problem-solving, and analytical skills</strong>.<br>\n ✅ Strong <strong>written and verbal communication</strong> with attention to detail.<br>\n ✅ Proficient in <strong>Excel, Word, and OneNote</strong>, with strong overall computer literacy.<br>\n ✅ Passion for <strong>DRG auditing</strong> and a commitment to <strong>teamwork, collaboration, and continuous learning</strong>.</p>\n<p><strong>What We Offer:</strong></p>\n<p>✨ A fast-paced, innovative environment with a team of <strong>industry-leading experts</strong>.<br>\n ✨ Hands-on experience with <strong>top-tier clients</strong> in the healthcare industry.<br>\n ✨ <strong>Mentorship and career development programs</strong> to help you grow professionally.<br>\n ✨ A strong culture of <strong>collaboration, support, and inclusivity</strong>.<br>\n ✨ <strong>Competitive benefits package</strong>, including <strong>healthcare, vision, dental, and 401(k) options</strong>.</p>\n<p><strong>Ready to Take Your Career to the Next Level?</strong></p>\n<p>If you're looking for a <strong>rewarding and challenging opportunity</strong> where your expertise will be valued, your growth will be supported, and your contributions will make a difference—<strong>apply today and become part of the EXL team!</strong></p>",
    "InternalQualificationsStr": "<p><strong>What We’re Looking For:</strong></p>\n<p>🔹 <strong>Education &amp; Credentials:</strong></p>\n<ul>\n <li>Minimum <strong>High School Diploma</strong> (Higher education preferred).</li>\n <li><strong>CCS, RHIA, or RHIT</strong> credential (Multiple credentials preferred).</li>\n</ul>\n<p>🔹 <strong>Experience &amp; Expertise:</strong></p>\n<ul>\n <li><strong>4+ years of MS-DRG/APR-DRG coding experience</strong> with a deep understanding of <strong>AHA Coding Guidelines</strong> and <strong>DRG reimbursement methodologies</strong>.</li>\n <li>Prior experience in <strong>DRG retrospective overpayment identification auditing</strong> is highly desirable.</li>\n <li>Strong proficiency with <strong>DRG encoder tools</strong> (3M, Webstrat).</li>\n</ul>\n<p>🔹 <strong>Key Skills &amp; Attributes:</strong><br>\n ✅ <strong>Expert-level inpatient coding knowledge</strong> with an in-depth understanding of <strong>ICD-10-CM/PCS coding guidelines</strong>.<br>\n ✅ Self-motivated and able to <strong>work independently in a remote environment</strong> while maintaining high performance.<br>\n ✅ Exceptional <strong>time management, problem-solving, and analytical skills</strong>.<br>\n ✅ Strong <strong>written and verbal communication</strong> with attention to detail.<br>\n ✅ Proficient in <strong>Excel, Word, and OneNote</strong>, with strong overall computer literacy.<br>\n ✅ Passion for <strong>DRG auditing</strong> and a commitment to <strong>teamwork, collaboration, and continuous learning</strong>.</p>\n<p><strong>What We Offer:</strong></p>\n<p>✨ A fast-paced, innovative environment with a team of <strong>industry-leading experts</strong>.<br>\n ✨ Hands-on experience with <strong>top-tier clients</strong> in the healthcare industry.<br>\n ✨ <strong>Mentorship and career development programs</strong> to help you grow professionally.<br>\n ✨ A strong culture of <strong>collaboration, support, and inclusivity</strong>.<br>\n ✨ <strong>Competitive benefits package</strong>, including <strong>healthcare, vision, dental, and 401(k) options</strong>.</p>\n<p><strong>Ready to Take Your Career to the Next Level?</strong></p>\n<p>If you're looking for a <strong>rewarding and challenging opportunity</strong> where your expertise will be valued, your growth will be supported, and your contributions will make a difference—<strong>apply today and become part of the EXL team!</strong></p>",
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