Diagnosis-Related Group Trainer

EXL

DRG Trainer responsible for enhancing audit quality and training efficiency at EXL Health. Collaborating with analysts and auditors to develop relevant training solutions.

Posted 7/2/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $60,100 - $110,000 per yearWebsite

About the role

Key responsibilities & impact

Deliver onboarding training for new DRG auditors and refresher training for tenured auditors.
Develop and maintain training content and modules related to medical coding and billing, including ICD-10-CM, CPT, and HCPCS
Evaluate training effectiveness; analyze coding audit errors and audit trends to identify root causes and deliver targeted training or remediation.
Mentor DRG auditors and provide coaching and performance feedback as needed.
Conduct quality reviews related to initial audits and appeals in order to support training insights and skill reinforcement.
Identify opportunities beyond standard audit findings that may result in additional recoveries and incorporate learnings into training.
Maintain current knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines.
Track and consolidate learner performance data from quizzes, exams, and assessments, and present summarized insights during weekly meetings.
Perform all responsibilities in accordance with company compliance, information security, and regulatory requirements.
Perform other duties as assigned.

Requirements

What you’ll need

Bachelor’s degree or equivalent
RHIT or RHIA certification required
CCS or CPC certification required
5 plus years relevant DRG and APR DRG coding/auditing experience
3 plus years of experience in training, facilitation, or coaching within a coding, audit, or payment integrity setting
Experience with Medicare Local Coverage Determinations (LCD) and National Coverage Determinations (NCD)
Experience in coding audit, quality review, or payment integrity programs
Experience delivering training, coaching, or mentoring new hires and/or tenured staff

Benefits

Comp & perks

Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development
Bonuses

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medical CodingCoding AuditTraining DevelopmentPerformance EvaluationQuality Review

Soft Skills

MentoringCoachingCommunication

Certifications

RHITRHIACCSCPC