Work Hard EverywhereJob 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 process
Estimated 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
Qualifications
- Current 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
- Excellent decision making skills and sound judgment
- Thorough understanding of medical terminology and human physiology
- Strong technical knowledge and ability to learn new systems quickly
- Excellent oral/presentation and written communication skills
- Ability to complete tasks efficiently and resolve problems within set timelines
- Strong organizational skills and attention to detail
- Ability to work in a team environment and independently as needed
- Demonstrated flexibility and adaptability
- Must be...
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 process
Estimated 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
Qualifications
- Current 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
- Excellent decision making skills and sound judgment
- Thorough understanding of medical terminology and human physiology
- Strong technical knowledge and ability to learn new systems quickly
- Excellent oral/presentation and written communication skills
- Ability to complete tasks efficiently and resolve problems within set timelines
- Strong organizational skills and attention to detail
- Ability to work in a team environment and independently as needed
- Demonstrated flexibility and adaptability
- Must be...