Diagnosis-Related Group Manager

🕒 il y a 14 jours

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EXL

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10 000+ employés

💰 €2 000 000 Venture Round en 2015-01

Choisir un partenaire digital ne concerne pas seulement les capacités — c’est également une question de collaboration et de caractère.

Description

• Lead the planning, coordination, and execution of DRG audit activities • Manage a team of auditors responsible for MS-DRG and APR-DRG reviews • Oversee inventory, aging, risks, and day-to-day performance • Collaborate cross-functionally to support program success • Ensure accurate coding and reimbursement outcomes • Monitor regulatory and payer guideline updates, ensuring audits remain compliant

🎯 Exigences

• CCS, RHIT, RHIA preferred • 5–8 years of experience with MS-DRG and APR-DRG, including strong knowledge of ICD-10-CM/PCS and Official Coding Guidelines • Prior experience leading teams or acting in a supervisory capacity • Strong understanding of DRG reimbursement methodologies • Knowledge of Medicare, Medicaid, and commercial payer guidelines • Experience working in audit or payment integrity operations • Strong analytical skills with ability to identify trends and support decision-making • Effective communication and interpersonal skills • Proficiency in Microsoft Office and audit/reporting systems

🏖️ Avantages

• Up to 10% annual travel • Competitive benefits package, including healthcare, vision, dental, and 401(k) options