Assistant Manager – Auditors, DRG

EXL

. Perform comprehensive secondary quality audits on inpatient medical records reviewed by DRG Auditors .

Posted 11/5/2026full-timeChennai • IndiaMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Inpatient DRG coding and auditing, ensuring compliance with IPPS regulations and ICD-10-CM/PCS guidelines. Proficient in using quality tools and software for audits, with strong communication skills for mentoring and training staff.

Highest-signal resume keywords

Inpatient DRG CodingQuality AuditingCPC/CPMA Certification3M Encoder SoftwareMicrosoft Excel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Inpatient DRG CodingQuality AuditingICD-10-CM/PCS GuidelinesCompliance RegulationsData Security Standards

Soft Skills

Strong Written CommunicationStrong Oral CommunicationMentoring Skills

Tools & Technologies

3M SoftwareNLP ToolsMicrosoft ExcelMicrosoft OutlookMicrosoft Word

Certifications & Qualifications

CPC CertificationCPMA Certification

Industry Keywords

IPPS RegulationsHealthcare ComplianceMedical CodingQuality Control AuditsSLA-Driven Environments

About the role

Key responsibilities & impact

Perform comprehensive secondary quality audits on inpatient medical records reviewed by DRG Auditors
Validate principal and secondary diagnoses, procedures, POA indicators, discharge disposition, and final DRG assignment
Ensure compliance with IPPS regulations, ICD-10-CM/PCS guidelines, official coding conventions, and payer/client-specific requirements
Adhere strictly to all Standard Operating Procedures (SOPs)
Ensure HIPAA and data security compliance
Use quality tools, 3M software, NLP tools, and internal systems for audit and reporting
Use Microsoft Excel, Outlook, and Word for documentation and reporting
Follow project-specific protocols, workflows, and client instructions
Complete quality-control audits and meet quality and production targets
Escalate issues and identify error trends
Update productivity, clarification, and other applicable logs daily
Respond promptly to manager and lead emails
Provide mentoring, training, feedback, and education to DRG Auditors and coding staff

Requirements

What you’ll need

Bachelor’s Degree in Science or Nursing
CPC/CPMA certification
Minimum 3+ years’ experience after certification
4–12 years’ experience in medical coding IVR and General Surgery
Minimum 5 years’ experience in Inpatient DRG coding or auditing
Minimum 1–2 years’ experience in a Quality Analyst or Quality Auditing role
Prior experience conducting IP DRG quality audits preferred
Hands-on exposure to 3M encoder software and NLP tools preferred
Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting
Experience in SLA-driven, high-compliance healthcare environments
Strong written and oral communication skills
Understanding of and adherence to telecommuter policy
High-speed broadband internet connection at home
Ability to work 08:00 AM to 05:00 PM IST
Knowledge of IPPS regulations, ICD-10-CM/PCS guidelines, official coding conventions, and payer/client-specific requirements
Knowledge of HIPAA and data security standards

Benefits

Comp & perks

40 hours per week as Full-time employee
Weekends Off
High Speed internet connection at home, must be broadband
Hybrid work arrangement
Telecommuter policy