[Hiring] Clinical Validation Auditor III @EXL

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
• Help identify overpayments

A brief coding/auditing assessment may be included as part of the interview process.

Qualifications

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

Company Description

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including:

• Insurance
• Healthcare
• Banking and financial services
• Media
• Retail

EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity, and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents.

EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.

Clients choose EXL as their transformation partner for many reasons, including:

• Geographic diversity making talent instantly accessible
• Digital accelerators enabling unmatched speed-to-value
• Dedicated data scientists in generative AI practice
• Over twenty years of experience in delivering business services

Contact us to see how we can help you achieve your goals.