Remote Clinical Validation Auditor Lead

EXL; United States; On-site; USD 60,000 - 95,000; Full time

Job summary

EXL Health is seeking a Clinical Validation Auditor (CVA) Quality Analyst to oversee CVA audits and mentor auditors in a remote capacity. The role emphasizes accuracy, clinical judgment, and adherence to regulatory policies.

The position includes a coding/auditing assessment during interviews and a salary range of $60,000 to $95,000 plus bonus, reflecting national hiring scales. Final offers depend on experience and location.

Qualifications

• Current Registered Nurse license.
• 5+ years of experience in clinical validation audits.

Responsibilities

• Apply clinical judgment for CVA audits to ensure accuracy of inpatient DRG coding.
• Review accuracy and consistency of clinical CVA auditing to ensure proper findings or none.
• Mentor Clinical CVA auditors.
• Recommend process changes to improve quality and performance.
• Communicate with peers and management.
• Provide root cause analysis on errors.
• Perform other duties as assigned.
• Adhere to Compliance, Information Security and Regulatory policies.

Skills

Auditing

Mentoring

Decision making

Medical terminology

Attention to detail

Teamwork

Time management

Education

RN license

Job description

EXL Health is seeking a Clinical Validation Auditor (CVA) Quality Analyst to oversee CVA audits and mentor auditors in a remote capacity. The role emphasizes accuracy, clinical judgment, and adherence to regulatory policies.

The position includes a coding/auditing assessment during interviews and a salary range of $60,000 to $95,000 plus bonus, reflecting national hiring scales. Final offers depend on experience and location.