Remote Clinical Validation Auditor III — Inpatient Claims

ExlService Holdings, Inc.; Pittsburgh (Allegheny County); Remote; USD 60.000 - 99.000; Vollzeit

Zusammenfassung

EXLService Holdings, Inc. is seeking a Clinical Validation Auditor to review inpatient care records and ensure accurate DRG coding. This remote role lets you apply clinical judgment to identify overpayments and support fair reimbursements.

The position offers a salary range of $60,100 to $98,700, with up to 10% annual travel for team meetings and limited client onsite engagements. U.S.-based remote work is required. A brief coding/auditing assessment may be part of the interview process.

Aufgaben

• Review medical records for inpatient care to verify clinical accuracy.
• Validate billed DRG codes for correctness.
• Identify potential overpayments and support corrective actions.

Jobbeschreibung

EXLService Holdings, Inc. is seeking a Clinical Validation Auditor to review inpatient care records and ensure accurate DRG coding. This remote role lets you apply clinical judgment to identify overpayments and support fair reimbursements.

The position offers a salary range of $60,100 to $98,700, with up to 10% annual travel for team meetings and limited client onsite engagements. U.S.-based remote work is required. A brief coding/auditing assessment may be part of the interview process.