诊断相关组（DRG）- 医疗保健审计师III
Diagnosis-Related Group (DRG) - Auditor III, Healthcare
为什么选择EXL？
在EXL，我们相信打造一个让员工可以学习、成长并取得成功的环境。我们提供行业领先的培训、职业发展机会以及具有竞争力的福利包，确保你可以专注于你最擅长的事情——在DRG审计中交付卓越成果。如果你正在寻找一个既能产生实际影响又能保持工作与生活平衡的职位，这里就是你的选择！
🔍你将负责：
✔进行全面的MS-DRG和APR-DRG编码审查，确保DRG分类和报销的准确性。
✔运用编码指南的专业知识，并使用行业领先的工具，以最大化识别超额支付。
✔撰写清晰、简洁且有充分支持的审计发现，依据AHA编码诊所指南和ICD-10-CM/PCS法规。
✔使用高级DRG编码工具（如3M、Webstrat）提高审计的效率和准确性。
✔达到或超过EXL的质量和生产标准，包括对上诉的高支持率。
✔紧跟行业趋势、编码更新和合规法规，保持专家级的知识水平。
✔遵守HIPAA和EXL的政策和流程，确保数据安全和合规性。
可能会在面试过程中包含一个简短的编码/审计评估
最初发布于Himalayas
查看英文原文
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!
🔍What You’ll Do:
✔Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement.
✔Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
✔Craft clear, concise, and well-supported audit findings, backed by AHA 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 EXL’s quality and productivity standards, including strong uphold rates for appeals.
✔Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge.
✔Adhere to HIPAA and EXL policies and procedures to ensure data security and regulatory compliance.
A brief coding/auditing assessment may be included as part of the interview process
Originally posted on Himalayas