EXL

We make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay

Clinical Validation Auditor

AuditorAuditorFull TimeRemoteTeam 10,001+H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

4 days ago

Salary

$70K - $80K / year

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

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.

Qualifications

  • Strong understanding of inpatient care
  • Passion for detail-oriented work
  • Clinical judgment skills

Requirements

  • Experience in reviewing medical records
  • Ability to validate billed DRG codes
  • Skills to identify overpayments

Benefits

  • Fully remote position

Job Requirements

  • Strong understanding of inpatient care
  • Passion for detail-oriented work
  • Clinical judgment skills
  • Experience in reviewing medical records
  • Ability to validate billed DRG codes
  • Skills to identify overpayments

Benefits

  • Fully remote position

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