Quality Analyst – Diagnosis-Related Group, Healthcare

🕒 il y a 2 mois

🇺🇸 États-Unis – Télétravail

💵 $70 000 - $110 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🧐 Analyste

👻 Score fantôme 13%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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EXL

Site WebLinkedInTous les Emplois

10 000+ employés

🏥 Santé

🛡️ Assurance

📦 Logistique

💰 €2 000 000 Venture Round en 2015-01

Healthcare • Insurance • Logistics

Choisir un partenaire digital ne concerne pas seulement les capacités — c’est également une question de collaboration et de caractère.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

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