质量分析师 IV - 临床验证审计员（CVA），医疗保健
Quality Analyst IV - Clinical Validation Auditor (CVA), Healthcare
EXL Health 正在寻找一位经验丰富的临床验证审计师（CVA）质量分析师
这是一份远程办公岗位。质量分析师 IV 负责监督临床 CVA 审计师的工作，以确保 EXL 的准确标准得到满足。该分析师会进行随机和有针对性的临床 CVA 审计的质量审查。
面试过程中可能会包含简短的编码/审计评估
预估薪资范围为 60,000 至 95,000 美元，外加奖金
如需了解有关福利和我们提供的其他内容的更多信息，请访问我们的网站
所发布的薪资范围是该职位的招聘范围——员工随时间推移可能享有的更广泛范围的一部分——并反映了我们在全国范围内的薪资水平。最终薪资将基于多种因素，包括候选人的技能和经验、内部薪酬公平性、工作地点、该职位的市场状况以及具体的工作职责和范围。
薪资范围的上限适用于明显超出要求的候选人；下限适用于经验较少或具备较少优先资格的候选人。对于位于高成本地区（例如加利福尼亚州、纽约州、新泽西州）的职位，实际薪酬可能超过所发布的范围；您的招聘经理将在流程中分享具体信息。
职责
- 对 CVA 审计应用临床判断，以确保住院 DRG 编码的准确性
- 负责审查临床 CVA 审计师的准确性与一致性，以确保审计结果正确标记发现或无发现
- 指导临床 CVA 审计师
- 建议流程改进以提高质量和绩效
- 与同事和管理层沟通
- 对错误提供根本原因分析
- 完成其他指派的任务
- 按照所有公司合规、信息安全和监管政策、程序和项目的要求执行所有工作职能和职责
资格
- 当前有效的注册护士执照
- 5 年以上临床验证审计工作经验
知识和技能：
- 卓越的审计和监控能力
- 能够指导和教学
- 优秀的决策能力和判断力
- 对医学术语和人体生理学有深入理解
- 强大的技术知识和快速学习新系统的能力
- 优秀的口头/演示和书面沟通能力
- 能高效完成任务并解决问题
查看英文原文
EXL Health, is seeking an experienced Clinical Validation Auditor (CVA) Quality Analyst.
This is a remote office opportunity. The Quality Analyst IV 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 $60,000 to $95,000 plus bonus
For more information on benefits and what we offer please visit us at
The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position.
The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.
Responsibilities
- Apply clinical judgment for CVA audits to ensure accuracy of inpatient DRG coding
- Responsible for reviewing the accuracy and consistency of clinical CVA auditing auditors to ensure audits are appropriately marked for findings and no findings
- Mentor Clinical CVA 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 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
Originally posted on Himalayas