United States onlyAs a DRG Concept Development Analyst, you will collaborate with Payment Integrity Audit program leaders, DRG audit professionals and Data & Analytic team members to research, develop and implement inpatient DRG audit selection criteria. This role involves analyzing performance metrics and results to ensure alignment with our team goals.
The successful candidate will be quality focused, possess strong analytical skills and have a background in payment integrity audits. The successful candidate will demonstrate mastery-level coding skills in ICD-10-CM and PCS, along with extensive knowledge and expertise in the application of ICD-10 Official Coding Guidelines and AHA Coding Clinic guidelines. They will possess an advanced understanding of MS DRG and APR-DRG reimbursement methodologies and remain current with relevant regulatory changes.
Salary Range for this role is: $100k - $125k
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 https://www.exlservice.com/us-careers-and-benefits
AU, CA + 12 more