Quality Analyst IV – Clinical Validation Auditor, Healthcare
EXL
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $70,000 - $93,000 per year
Job Level
Mid-LevelSenior
About the role
- Oversee work performed by the Clinical DRG auditors to ensure accuracy of audits
- Undertake quality review of random and targeted clinical DRG audits
- Mentor Clinical DRG auditors
- Recommend process changes to improve quality and performance
- Communicate with peers and management
- Provide root cause analysis on errors
- Conduct job functions in accordance with all company Compliance, Information Security and Regulatory policies
Requirements
- Current Registered Nurse license
- Minimum 5 years experience working with clinical validation audits
- 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 able to work under deadlines. Must be able to utilize independent decision-making skills in a wide variety of situations
- Requires a high degree of accuracy in the performance of varied responsibilities.
- Personal computer skills required. Must be self-motivated to complete work in a timely manner to meet deadlines
- Strong interpersonal skills required
Benefits
- For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical validation auditsauditing skillsroot cause analysismedical terminologyhuman physiologydecision makingproblem resolutionorganizational skillsattention to detailindependent decision-making
Soft skills
mentoringcommunication skillsflexibilityadaptabilityteamworkself-motivationtime managementsound judgmentpresentation skillsinterpersonal skills
Certifications
Registered Nurse license