Remote Clinical Validation Auditor III

ExlService Holdings, Inc.; United States; Remote; USD 60,000 - 99,000; Full time

Benefits offered by this job

Travel up to 10%

Job summary

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.

Skills

Nurse experience

Clinical judgment

Medical records review

Job description

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.