Clinical Validation Auditor (CVA) Auditor III

EXL Talent Acquisition Team; Pittsburgh (Allegheny County); Remote; USD 60,000 - 99,000; Full time

Job summary

EXLService Holdings, Inc. is seeking a Clinical Validation Auditor to review inpatient care records and ensure accurate DRG coding. This remote role lets you apply clinical judgment to identify overpayments and support fair reimbursements.

The position offers a salary range of $60,100 to $98,700, with up to 10% annual travel for team meetings and limited client onsite engagements. U.S.-based remote work is required. A brief coding/auditing assessment may be part of the interview process.

Responsibilities

• Review medical records for inpatient care to verify clinical accuracy.
• Validate billed DRG codes for correctness.
• Identify potential overpayments and support corrective actions.

Job description

Are you a nurse with a strong understanding of inpatient care and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you'll use your clinical judgment to review medical records, validate billed DRG codes, and help identify overpayments.

Salary Range: $60,100 - $98,700 (based on experience, skills, and qualifications)Location: 100% Remote (U.S.-based)

Up to 10% annual travel (for team meetings and limited client onsite engagements.)

A brief coding/auditing assessment may be included as part of the interview process

For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits