Quality Analyst - Clinical Validation Audit

ExlService Holdings, Inc.; United States; Hybrid; USD 85,000 - 100,000; Full time

Benefits offered by this job

Remote work

Up to 10% travel

Job summary

EXLService Holdings, Inc. is seeking a CVA Quality Analyst for a 100% remote, U.S.-based role. You will oversee clinical auditors and perform quality reviews of inpatient medical records to ensure billing accuracy for DRG codes.

The position includes travel up to 10% annually and may involve a brief coding/auditing assessment as part of the interview process. Benefits information is available on the EXL careers site.

Qualifications

• Expert clinical knowledge applied to quality auditing of inpatient medical records.

Responsibilities

• Oversee work performed by Clinical auditors to ensure accuracy standards are met.
• Conduct quality reviews of random and targeted clinical audits.
• Validate provider billed DRG codes based on auditing findings.

Skills

Quality auditing

Clinical audits

DRG coding knowledge

Inpatient medical records

Remote work

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