Clinical Validation Audit (CVA) Trainer

EXL • United States,

4d • $75,100 - $107,300 • Remote

About The Position

The CVA Trainer improves audit consistency, accuracy, and completeness by translating audit outcomes into effective learning experiences. The role works closely with Clinical Auditors, Quality Analysts, and Subject Matter Experts to ensure training reflects current coding guidelines, clinical validation requirements, and audit expectations. Using clinical and DRG expertise, the trainer develops learning that reinforces accurate provider-billed DRG assignment and alignment with EXL’s accuracy standards.

This is a 100% remote, U.S.-based position with up to 10% annual travel for team meetings and limited client onsite engagements. A brief coding or auditing assessment may be included in the interview process. The posted base salary range is $75,100–$107,300; final offers depend on skills and experience, internal pay equity, work location, market conditions, and the role’s scope and responsibilities.

Requirements

• Registered Nurse; associate or bachelor's degree.
• At least 5 years of acute care nursing experience.
• At least 2 years of experience facilitating training delivery.
• Demonstrated ability to facilitate instructor-led, virtual, and blended training for adult learners.
• Ability to explain complex coding guidelines and audit concepts clearly, engagingly, and practically.
• Strong communication and facilitation skills, including engaging learners and managing group dynamics in a virtual environment.
• Analytical ability to identify knowledge gaps, recurring errors, and training opportunities based on audit trends.
• Extensive knowledge of clinical criteria documentation requirements used to substantiate code assignments.
• Ability to collaborate with Quality, Audit, and SME partners in a cross-functional remote environment.
• Strong organizational, time-management, and work-prioritization skills to manage multiple training initiatives and deadlines.
• Ability to work independently remotely and deliver results during EXL core business hours.
• Excellent written and verbal communication, analytical skills, and attention to detail.
• Proficiency in Excel, Word, and OneNote, with general computer literacy.
• Comfort using technology-based training and collaboration tools, such as virtual meeting platforms, an LMS, and MS Teams.
• Passion for DRG auditing and interest in a teamwork-oriented, collaborative environment.

Nice To Haves

• Prior clinical or coding validation audit experience.
• Prior DRG retrospective overpayment identification auditing experience.
• Prior readmission (PPR) auditing experience.
• CCS, RHIA, or RHIT coding credentials.
• Experience with DRG encoder tools such as Solventum/3M, TruBridge, or Webstrat.

Responsibilities

• Deliver engaging and impactful learning experiences to new-hire and tenured CVA coders.
• Apply clinical and DRG expertise to support training and education related to inpatient DRG validation and coding accuracy.
• Review clinical DRG audit outcomes for consistency and accuracy and use findings to inform training, coaching, and remediation.
• Mentor and coach Clinical DRG Auditors through targeted education, feedback, and knowledge reinforcement.
• Analyze audit trends and identify learning gaps or referral needs for additional DRG coding education or review.
• Perform root cause analysis on audit errors and translate findings into actionable training and performance support.
• Use industry standards and EXL proprietary tools to support DRG validation training and education.
• Develop clear, professional training communications and materials documenting audit scenarios, findings, and clinical rationale.
• Recommend training and process improvements to enhance audit quality and performance outcomes.
• Communicate with peers, auditors, and management about training needs, trends, and progress.
• Perform responsibilities in accordance with company compliance, information security, and regulatory requirements.
• Perform other duties as assigned.

Benefits

• Mentoring program that assigns each junior-level employee a senior-level professional as an advisor.
• Guidance and coaching.
• Opportunities to learn about client businesses, teamwork, and time management.
• Growth and development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree