Diagnosis-Related Group (DRG) Auditor III, Healthcare -Remote US
$70k - $110kEXL
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. Why EXL? At EXL, we believe in fostering an environment where our employees can learn, grow, and succeed. We provide industry-leading training, career development opportunities, and a competitive benefits package 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 make a real impact while maintaining work-life balance, this is it! Salary Range: $70,000 – $110,000 (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. For more information on benefits and what we offer please visit us at [ 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. 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 [ 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. EXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.
$81.85k - $155.09k
Anticipated End Date: 2025-09-12 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Diagnosis... ...improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding...SuggestedFull timeTemporary workWork experience placementLocal area1 day per week$86.56k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually full-time, with the exception of required inperson training sessions, providing maximum flexibility and autonomy. This approach...SuggestedFull timeLocal area- ...a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform... ...to make payment determinations for Diagnosis Related Group (DRG) claims. Perform projects or... ...activities related to implementing healthcare reform on a national level. In assuming...Remote workFor contractorsCasual workWork at officeLocal area
- ...DRG Nurse Auditor The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides... ...include: Perform DRG (Diagnosis Related Group) validation reviews in response to audits... ...respected providers of hospital and healthcare services, Universal Health Services,...SuggestedWork at officeLocal area
$57k
...Description Pharmacy Claims Auditor CPhT Do you have a... ...on behalf of our healthcare payer clients. As a... ...state/federal laws as they relate to prescription... ...and inclusion. Join Us: At Conduent, we are... ...information, or any other group protected by law. For...Remote workWork at officeLocal areaWork from homeFlexible hoursNight shift- ...This position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate... .../ Abilities ~ Possesses knowledge of DRG and grouping methodologies, in particular what diagnoses and procedures...Remote work
- ...Sr Coding Compliance Auditor Inspired by faith.... ...largest nonprofit Catholic healthcare organizations,... ...efforts across the medical group. The Hierarchical Condition... ...review of submitted diagnosis codes versus services... ...level of competency related to clinical documentation...Remote workFull timeWork at office
- ...Inpatient Drg Coding Auditor Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits... ...accuracy and completeness of diagnosis and procedure coding, DRG... ...knowledge of DRG and grouping methodologies (MS DRG's and AP...
- ...Resolves billing related errors and assists... ...or better. Coder III assigns codes for diagnoses... ...correct principal diagnosis, co-morbidities,... ...Assigns correct MS-DRG and APR-DRG and... ...Coder (CUC) About Us Hoag Memorial... ...Hoag hires a diverse group of people in a...Remote workLocal area
- ...meeting attendance or related in-services.... ..., the Coder III assigns codes for... ...correct principal diagnosis, co-morbidities,... ...correct MS-DRG and APR-DRG and... ...Professional Medical Auditor (CPMA) Cath Lab... ...(CUC) About Us Hoag... ...hires a diverse group of people in a manner...Remote workLocal area
$89.66k - $134.48k
...IT Senior Auditor Point32Health is a leading not-for... ...-quality, affordable healthcare. Serving nearly 2 million... ..., which helps us to provide service with... ...Management, Finance, or a related field. A professional... ...to work with a diverse group of people Ability to...Remote workWork at officeWork from homeFlexible hours$144k
...as physician offices, group practices, multi-specialty... ...numeric codes for each diagnosis and procedure... ...Terminology (CPT), and/or Healthcare Common Procedure Coding... ...in process improvements related to coding. Analyze audit... ...correct diagnosis-related DRG, support medical necessity...Remote workPermanent employmentFull timeWork experience placementSeasonal workTrial periodMonday to Friday- ...clinical and financial value across healthcare. Our People make the difference... ...the country. Learn more about us at . The Financial Systems Analyst III, is a Senior-Level position who will... ...informatics, computer science, or related field. required; or college level...Work experience placementWork at office
$144k
...Terminology (CPT), and/or Healthcare Common Procedure Coding... ...the most appropriate diagnosis, operation, procedure,... ...appropriate leadership and groups. Collaboratively... ...in process improvements related to coding. Analyze... ...PCS): Not Authorized US Department of Veterans...Remote workPermanent employmentFull timeWork experience placementMonday to Friday- DRG Revenue Integrity Auditor About the Role The DRG Revenue Integrity Auditor (DRG-A) is responsible for performing Diagnostic Related Group (DRG) validation and quality audits on inpatient charts. This role ensures that all reviewed charts accurately reflect the...Remote work
$60k - $88k
...Experienced Auditor USAC's target compensation range for a new hire... ...may vary depending on job-related factors based on knowledge, skills... ...families connected. Join us and help USAC accomplish our mission... ...universal service impacting healthcare providers, educators, and...Remote work- ...Technician (Coder) Auditor position is... ...physician offices, group practices, multi-specialty... ...codes for each diagnosis and procedure. Responsibilities... ...(CPT), and/or Healthcare Common Procedure... ...-10-PCS codes, MS-DRG, POA status, and... ...management, or a related degree with a...Remote workPermanent employmentApprenticeshipWork experience placementSeasonal workTrial periodRelocation packageMonday to Friday
- ...Product Certification Auditor Location: Field Based, United Kingdom... ...standardized assessments related to knowledge and application of... ...Contribution Based Pension, Private Healthcare, 27 Days Annual Leave + Bank... ...do things at BSI. They help us ensure that BSI is a great place...Remote workContract workFreelanceLive inWork at officeWork from homeFlexible hoursNight shift
- ...Summary Our client is seeking a skilled DRG Auditor to conduct 100% pre-bill audits of... ...for clients and candidates across the healthcare, scientific, technology, and government... ...employment. This requirement is directly related to essential job functions including...Temporary workLocal area
$97.8k - $133.46k
...families. It is this understanding that drives us to better serve and care for the 3.5... ...industry Prefers knowledge of insurance-related regulatory environment Skills and... ...and organized manner in both individual and group situations; tailor message and language to...Live inLocal area- ...Auditor Position Recruitment Information: The immediate... ...to work in the US. All applicants who pass... ...principles. Auditor level III performs moderately difficult... ...; may supervise a small group of lower-level auditors... ...cases; and performs other related duties as assigned....Permanent employmentImmediate start
$62.7k - $100.4k
...Medical Coding Reviewer III supports most complex... ...analysis to track performance related to the Pre-Pay and Post... ...of CPT, ICD10, HCPCS, DRG, REV coding rules to... ...: Knowledge of diagnosis codes and CPT coding guidelines... ...and familiarity of healthcare industry Effective...Remote workHourly payWork experience placementWork at office- ...procedural phrases utilized by healthcare providers into coded form... ...records to identify principal diagnosis, secondary diagnoses and procedures... .... Assigns the appropriate DRG. Assigns codes based on... ...: Minimum of 1 year-Related work experience (Required)...Remote workFull timePart timeWork experience placementWork at officeWork from homeShift work
$84.6k - $126.9k
...leaders, and innovators. Join us and take your place in space.... ...one manager plus five senior auditors, with diversity in personnel,... ...for the Internal Auditor Staff III include: A Bachelor's degree... ...pregnancy, childbirth, and related medical conditions), sexual orientation...Remote workFull timeWork at officeImmediate startRelocation packageFlexible hours$72.28k - $117.52k
...the candidate's skills and experience, job-related knowledge, geographic location, and other... ...Description Summary: The Business Analyst III provides analytical and project management... ...application process, please email TD Bank US Workplace Accommodations Program at...Remote workWork experience placementH1bWork at officeLocal areaWork from homeFlexible hours$23.47 - $35.14 per hour
...Account Relations Representative III US-NY-Melville Job ID: 34196 Type: Full-Time of Openings: 1 Category: Administrative/Clerical CUSA Melville Headquarters About the Role Canon USA in Melville, NY is currently seeking an Account Relations Representative III (Representative...Remote workHourly payFull timeContract workFor contractorsFor subcontractorCasual workWork at officeLocal areaWork from home- ...Bank Examiner III We continually strive for a workforce that reflects... ...with disabilities. Please tell us if you require a reasonable... ...job, or for any other activity related to the hiring process. Examples... ...@illinois.gov Posting Group: Legal, Audit & Compliance Application...Permanent employmentFull timeH1bMonday to Friday
- ...admission reviews and assign a working Diagnosis Related Group. Ensure the working DRG and other information are entered... ...record. Collaborate with healthcare professionals to ensure the severity... ...at the heart of our mission. Join us in continuing our legacy of service...Remote work
- ...people and the planet. Join us and make a difference... ..., invoicing and other related matters are properly... ...schemes) and maintain auditor and scheme qualifications... ...construction, energy, healthcare, IT and trade sectors.... ...industry and consumer groups, organizations and governments...Contract workWork experience placementLive inWork at officeWork from home
- ...Data Mining Auditor Codoxo is the premier provider of artificial intelligence-driven solutions and services that help healthcare companies and agencies proactively detect and reduce risks... ...reimbursement methodologies, to include MS-DRG, APR-DRG, OPPS, per diems, case...Remote workContract workWork experience placementWork at officeLocal areaWork from homeHome office
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