Quality Analyst – Diagnosis-Related Group, Healthcare

🕒 Julho 2

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $70.000 - $110.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧐 Analista

👻 Score fantasma 13%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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EXL

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛡️ Seguros

📦 Logística

💰 $2.000.000 Venture Round em 2015-01

Healthcare • Insurance • Logistics

Escolher um parceiro digital vai além das capacidades — trata-se de colaboração e caráter.

Descrição

• Oversee work performed by the Clinical DRG auditors to ensure that EXL’s standard of accuracy is met • Undertake a quality review of random and targeted clinical DRG audits • 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

🎯 Requisitos

• 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

🏖️ Benefícios

• For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits