Senior Manager - APR DRG Concept Development Analyst
EXL · United States · US
Utilization Review
Remote
Not yet analysed
Demand72
Career growth62
Healthcare fit58
Remote potential55
Salary band
USD 100k – 125k
5-year outlook
Posted range is $100k-$125k; experienced DRG/coding audit specialists can move into payment integrity or CDI leadership, but growth is niche and tied to payer/consulting demand.
Clinical license
Not required
Applicant reach
narrow
Seniority
senior
Employment type
full-time
Date found
2026-10-21
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying only if you already have strong ICD-10/DRG audit or CDI experience; clinicians without coding/audit credentials will likely be screened out.
Who should apply
CDI specialists, coding auditors, HIM professionals, and doctors or nurses with coding certifications and DRG/payment-integrity experience.
CV angle
Frame clinical documentation, coding, DRG review, audit, and reimbursement work with metrics; emphasize ICD-10-CM/PCS, APR-DRG/MS-DRG, Coding Clinic, and payment integrity outcomes.
Skills to highlight
- ICD-10-CM/PCS coding
- APR-DRG and MS-DRG methodologies
- DRG audit and payment integrity
- AHA Coding Clinic and Official Coding Guidelines
- Clinical documentation improvement
- Data analysis and performance metrics
- Regulatory compliance
Role summary
Develops and refines inpatient DRG audit selection criteria for payment integrity programs, using coding expertise, reimbursement knowledge, and data analysis to support audit teams.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.