Clinical Validation Auditor (CVA) Auditor III

EXLUnited States,
$70,000 - $80,000Remote

About The Position

Are you a nurse with a strong understanding of inpatient care and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you’ll use your clinical judgment to review medical records, validate billed DRG codes, and help identify overpayments.

Requirements

  • Nurse with a strong understanding of inpatient care
  • Passion for getting the details right
  • Clinical judgment

Nice To Haves

  • A brief coding/auditing assessment may be included as part of the interview process

Responsibilities

  • Review medical records
  • Validate billed DRG codes
  • Identify overpayments
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