[Hiring] Diagnosis-Related Group (DRG) Manager @EXL

Role Description

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.

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.

Qualifications

• Strong leadership and analytical skills
• Expertise in Coding Guidelines, Coding Clinic, and audit tools
• Solid understanding of CMS regulations and payer requirements

Requirements

• Salary Range: $100,000 – $120,000 (based on experience, skills, and qualifications)
• Location: 100% Remote (U.S.-based)
• Up to 10% annual travel (for team meetings and limited client onsite engagements)
• A brief coding/auditing assessment may be included as part of the interview process

Benefits

For more information on benefits and what we offer please visit us at EXL Careers and Benefits .