EXL Health · 10 hours ago
Diagnosis Related Group - Quality Analyst
United States
Full-time
Remote
Mid, Senior Level
$70K/yr - $93K/yr
5+ years expEXL Health is seeking an experienced Clinical Diagnosis-Related Group (DRG) Quality Analyst. The Quality Analyst IV oversees work performed by the Clinical DRG auditors to ensure accuracy and conducts quality reviews of clinical DRG audits.
Health Care
Hiring Manager
Ashley Houde
Responsibilities
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
Qualification
Required
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
Company
EXL Health
EXL Health specializes in providing hospital and healthcare services.
Founded in 1999New York, New York, USA
10001+ employees
H1B Sponsorship
EXL Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (449)
2024 (298)
2023 (284)
2022 (315)
2021 (239)
2020 (221)
Funding
Current Stage
Late StageLeadership Team
Mike Arian
VP Sales, Healthcare
Nayfe Faillace
VP Global Healthcare Compliance & Privacy
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