Quality Analyst - Clinical Validation Audit

ExlService Holdings, Inc.; Northern (KY); Hybrid; USD 85,000 - 100,000; Full time

Job summary

ExlService Holdings, Inc. is seeking a CVA Quality Analyst for a 100% remote U.S.-based position. You will oversee clinical auditors and ensure accuracy in audits, aligning with EXL's quality standards.

The role involves quality reviews of random and targeted inpatient medical record audits to validate the provider's billed DRG codes. Travel up to 10% for team meetings and limited client onsite engagements.

For more information on benefits, please visit EXL's careers page.

Qualifications

• Clinical auditing experience preferred.
• Knowledge of inpatient medical records and DRG validation.

Responsibilities

• Oversee work performed by Clinical auditors to ensure accuracy of audits.
• Perform quality review of random and targeted clinical audits to validate DRG codes.

Job description

This is a remote office opportunity. The CVA Quality Analyst oversees work performed by the Clinical auditors to ensure that EXL's standard of accuracy is met. The analyst undertakes a quality review of random and targeted clinical audits. The analyst applies expert clinical knowledge in the quality auditing of inpatient medical records to confirm the appropriate validation of the provider's billed DRG code.

Salary Range: $85k - $100k

Location: 100% Remote (U.S.-based)

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

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