Company Overview and Culture 

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com.

About EXL Health

We leverage Human Ingenuity and domain expertise to help clients improve outcomes, optimize revenue and maximize profitability across the healthcare ecosystem.  Technology, data and analytics are at the heart of our solutions.  We collaborate closely with clients to transform how care is delivered, managed and paid.  

EXL Health combines deep domain expertise with analytic insights and technology-enabled services to transform how care is delivered, managed, and paid.  Leveraging Human Ingenuity, we collaborate with our clients to solve complex problems and enhance their performance with nimble, scalable solutions.  With data on more than 260 million lives, we work with hundreds of organizations across the healthcare ecosystem.   

We help payers improve member care quality and network performance, manage population risk, and optimize revenue while decreasing administrative waste and reducing health claim expenditures. We help Pharmacy Benefit Managers (PBMs) manage member drug benefits and reduce drug spending while maintaining quality. We help provider organizations proactively manage risk, improve outcomes, and optimize network performance. We provide Life Sciences companies with enriched data, insights through advanced analytics and data visualization tools to get the right treatment to the right patient at the right time.

EXL is seeking an experienced Diagnosis-Related Group (DRG) Trainer/Quality Analyst.

This is a remote office opportunity. We are seeking a detail-oriented and experienced DRG Trainer and Quality Analyst to join our organization. This is a dual-role position where the candidate will be responsible for all aspects of DRG training, evaluating our needs and current practices and creating and delivering a training development plan complete with materials, tutorials, instructions, and learning resources such as online modules and guides. In addition, this role plays a key part in improving team performance and supporting coding accuracy and compliance by performing quality audits and providing timely coaching and feedback. The ideal candidate will be a confident public speaker and a devoted educator with a strong background in DRG coding, training and quality assurance who is up to date on the latest tools and resources needed to improve employee training and performance.

Responsibilities:

• Instruct and mentor DRG coders; present training/instructions to both groups and individuals
• Create training material, update and maintain training records and resource library
• Evaluate training effectiveness; identify gaps and create training to address
• Conduct employee assessments
• Review employee performance; responsible for timely coaching and feedback by reviewing the accuracy and consistency of DRG coding auditors to ensure audits are appropriately marked for findings and no findings
• Track and compile collected data
• Provide root cause analysis on errors
• Identify potential opportunities outside of the concept for additional recoveries
• Recommend process changes to improve quality and performance
• Communicating with peers and management
• Perform other duties as assigned
• Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs

Qualifications:

• Minimum 5 years relevant DRG and APR DRG coding/auditing/training experience
• RHIT or RHIA certification
• CCS certification, CPC certification
• Certification or degree in education or training, or related field
• Previous experience as a trainer, corporate training specialist, or related position

Knowledge and Skills:

• Knowledge of various teaching methods and approaches
• Superior auditing and monitoring skills
• Excellent decision-making skills and sound judgment
• Thorough understanding of medical terminology and human physiology
• Experience with technologies and best practices for instructional manuals and teaching platforms
• Strong project management skills with the ability to supervise multiple projects
• Good interpersonal skills and communication with all levels of management
• Organized and able to create multiple timelines and schedules
• Able to multitask, prioritize, and manage time efficiently
• Encouraging to team and staff; able to mentor and lead
• Excellent verbal and written communication skills
• Able to analyze problems and strategize for better solutions
• Problem-solving skills; ability to recognize issues and fix them with logical, timely, and appropriate solutions  
• Ability to work in a team environment and independently as needed
• Demonstrated flexibility and adaptability
• Must be able to work under deadlines. Must be able to utilize independent decision-making skills in a wide variety of situations
• Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel)

What We offer: 

• EXL Health offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions. From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants.
• You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time-management skills - key aspects for personal and professional growth
• We provide guidance/ coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as advisors.
• Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.