Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team! This role offers a fully remote work experience with possible 10%travel per year. The rest of the time, you'll enjoy the flexibility of working from your home office.

Salary Range: $73,000 – $98,700(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.

For more information on benefits and what we offer please visit us at

• Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement.

• Apply expert knowledge of coding guidelinesand utilize industry-leading tools to maximize overpayment identifications.

• Craftclear, concise, and well-supported audit findings, backed byAHA 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 EXL27s quality and productivity standards, including strong uphold rates for appeals.

• Stay ahead of industry trends, coding updates, and compliance regulationsto maintain expert-level knowledge.

• Adhere to HIPAA and EXL policies and procedures to ensure data security and regulatory compliance.

Education & Credentials:

• Minimum High School Diploma (Higher education preferred).
• CCS, CIC, CPC, RHIA, or RHIT credential (Multiple credentials preferred).

Experience & Expertise:

• 4+ years of MS-DRG/APR-DRG coding experience with a deep understanding of AHA Coding Guidelines and DRG reimbursement methodologies.
• Prior experience in DRG retrospective overpayment identification auditing is highly desirable.
• Strong proficiency with DRG encoder tools (3M, Webstrat).

Key Skills & Attributes:

• Expert-level inpatient coding knowledge with an in-depth understanding of ICD-10-CM/PCS coding guidelines.
• Self-motivated and able to work independently in a remote environment while maintaining high performance.
• Exceptional time management, problem-solving, and analytical skills.
• Strong written and verbal communication with attention to detail.
• Proficient in Excel, Word, and OneNote, with strong overall computer literacy.
• Passion for DRG auditing and a commitment to teamwork, collaboration, and continuous learning.

What We Offer:

• A fast-paced, innovative environment with a team of industry-leading experts.
• Hands-on experience with top-tier clients in the healthcare industry.
• Mentorship and career development programs to help you grow professionally.
• A strong culture of collaboration, support, and inclusivity.
• Competitive benefits package, including healthcare, vision, dental, and 401(k) options.

Ready to Take Your Career to the Next Level?

If you're looking for a rewarding and challenging opportunity where your expertise will be valued, your growth will be supported, and your contributions will make a differenceapply today and become part of the EXL team!