Quality Analyst - Clinical Validation Audit

Ex; United States; Remote; USD 85,000 - 100,000; Full time

Benefits offered by this job

Remote work (US-based)

Travel up to 10%

Job summary

EXL Service is seeking a CVA Quality Analyst to oversee clinical auditors and ensure accuracy in inpatient medical record audits. The analyst applies expert clinical knowledge to validate providers' billed DRG codes and uphold EXL's standards.

This is a 100% remote, U.S.-based opportunity with travel up to 10% for team meetings and client engagements. Salary ranges from $85,000 to $100,000, with benefits available at https://www.exlservice.com/us-careers-and-benefits.

Qualifications

• Experience conducting quality reviews of inpatient medical records.
• Strong clinical knowledge enabling DRG coding validation.
• Ability to perform random and targeted audits.

Responsibilities

• Oversee work performed by clinical auditors to ensure accuracy.
• Perform quality reviews of random and targeted clinical audits.
• Apply expert clinical knowledge to validate inpatient medical records and DRG codes.

Skills

Clinical auditing

Quality auditing

DRG coding validation

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