Clinical Validation Auditor (CVA) Auditor III

ExlService Holdings, Inc.; United States; Teletrabalho; USD 60 000 - 99 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Travel up to 10%

Resumo da oferta

EXL is seeking a Clinical Validation Auditor to review inpatient medical records, apply clinical judgment, and ensure accurate DRG code assignments. This fully remote role is based in the United States.

You will assess medical documentation for coding accuracy, identify potential overpayments, and support payers with fair and precise coding. Travel up to 10% for team meetings and limited onsite engagements may be required.

Conhecimentos

Nurse experience

Clinical judgment

Medical records review

Descrição da oferta de emprego

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