Quality Analyst - Clinical Validation Audit

EXL Talent Acquisition Team; United States; Remote; USD 85,000 - 100,000; Full time

Job summary

EXL is seeking a CVA Quality Analyst to oversee clinical audits of inpatient records, ensuring accuracy and proper validation of billed DRG codes. This is a 100% remote U.S.-based opportunity with occasional travel up to 10% for team meetings and limited client engagements.

The role involves reviewing audits, applying clinical knowledge to reinforce EXL's quality standards, and participating in a brief coding/auditing assessment during interviews.

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.)

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