Quality Analyst - Clinical Validation Auditor (CVA), Healthcare
Description
Headquarters: United States URL: https://fa-ewjt-saasfaprod1.fa.ocs.oraclecloud.com:443/hcmUI/CandidateExperience/ This is a remote office opportunity. The Quality Analyst oversees work performed by the Clinical CVA auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted clinical CVA audits. A brief coding/auditing assessment may be included as part of the interview processEstimated salary range is $60,100 to $98,700 For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits Responsibilities Apply clinical judgment for DRG audits to ensure accuracy of inpatient DRG coding Responsible for reviewing the accuracy and consistency of clinical DRG auditing auditors to ensure audits are appropriately marked for findings and no findings Mentor Clinical DRG 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 Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs QualificationsCurrent Registered Nurse license 5 plus years experience working with clinical validation audits Knowledge and Skills: Superior auditing and monitoring skills Ability to mentor and instruct --- Source: weworkremotely - EXL
