Remote opportunity at
EXLQuality Analyst - Clinical Validation Auditor (CVA), Healthcare
EXL is hiring a remote Quality Analyst - Clinical Validation Auditor (CVA) to monitor and evaluate the work performed by clinical CVA auditors. In this full-time…
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About This Role
EXL is hiring a remote Quality Analyst - Clinical Validation Auditor (CVA) to monitor and evaluate the work performed by clinical CVA auditors. In this full-time role, the analyst conducts quality reviews on both targeted and random clinical CVA audits to verify that accuracy standards are met. Founded in 1999 and headquartered in New York, EXL operates as a data analytics and digital operations company partnering with major corporations across…
Job Description
EXL is hiring a remote Quality Analyst - Clinical Validation Auditor (CVA) to monitor and evaluate the work performed by clinical CVA auditors. In this full-time role, the analyst conducts quality reviews on both targeted and random clinical CVA audits to verify that accuracy standards are met. Founded in 1999 and headquartered in New York, EXL operates as a data analytics and digital operations company partnering with major corporations across healthcare, insurance, banking, and other industries using artificial intelligence, data, and industry expertise.
The position involves applying clinical judgment for Diagnosis Related Group audits, ensuring inpatient coding precision, mentoring team members, and proposing process enhancements to elevate performance. Candidates may undergo a brief coding or auditing assessment during the interview process. EXL provides an estimated salary range of $60,100 to $98,700 per year for this opportunity.
Responsibilities
- Apply clinical judgment for DRG audits to ensure the accuracy of inpatient DRG coding
- Review the accuracy and consistency of clinical DRG auditors to verify that audits are correctly marked for findings and no findings
- Mentor clinical DRG auditors
- Recommend process modifications to enhance quality and performance
- Communicate effectively with peers and management
- Perform root cause analysis on errors
- Conduct all job functions in alignment with company compliance, information security, and regulatory policies
Requirements
- Possess a current Registered Nurse license
- Bring five or more years of experience working with clinical validation audits
- Demonstrate strong technical knowledge and the ability to learn new systems quickly
- Meet strict deadlines and work under pressure
- Utilize independent decision-making skills in diverse situations
- Maintain a high degree of accuracy across various responsibilities
- Demonstrate personal computer proficiency and self-motivation
Core Skills
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, the posting specifies that this is a remote office opportunity.
What is the salary range for the Quality Analyst role?
The estimated base salary range is $60,100 to $98,700 per year, with final offers determined by factors such as experience, location, and skills.
What license or background is required for applicants?
Applicants must hold a current Registered Nurse license and have five or more years of experience working with clinical validation audits.
Does the hiring process include an assessment?
Yes, a brief coding or auditing assessment may be part of the interview process.
Sample Interview Questions
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