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EXL logo
EXL

EXL is a global company providing business process solutions engineered to help companies streamline operations, simplify compliance, prepare for change, and cr

Clinical Validation Auditor

Location

United States

Posted

81 days ago

Salary

$70K - $80K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Clinical Validation Auditor

EXL

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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