Quality Analyst - Clinical Validation Audit
EXL•United States,
•$85,000 - $100,000•Remote
About The Position
This is a remote office opportunity. The CVA Quality Analyst oversees work performed by the Clinical auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted clinical audits. The analyst applies expert clinical knowledge in the quality auditing of inpatient medical records to confirm the appropriate validation of the provider's billed DRG code.
Requirements
- Expert clinical knowledge
- Experience in quality auditing of inpatient medical records
- Understanding of provider's billed DRG code validation
Nice To Haves
- A brief coding/auditing assessment may be included as part of the interview process.
Responsibilities
- Oversees work performed by Clinical auditors to ensure EXL’s standard of accuracy is met.
- Undertakes a quality review of random and targeted clinical audits.
- Applies expert clinical knowledge in the quality auditing of inpatient medical records to confirm the appropriate validation of the provider's billed DRG code.
Benefits
- 100% Remote (U.S.-based)
- Up to 10% annual travel (for team meetings and limited client onsite engagements.)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
