Remote RN Clinical Validation Auditor – DRG & Claims

EXL is seeking a Clinical Validation Auditor to review inpatient records, ensuring DRG codes align with documentation and to identify potential over payments. This fully remote, U.S.

-based role leverages clinical judgment to validate billing accuracy.

You'll use tools like 3M or Webstrat, document findings clearly, and work independently while meeting productivity and quality goals. A RN with 5+ years of acute care experience and DRG audit familiarity is ideal.

This posting is for the Remote RN Clinical Validation Auditor – DRG & Claims role at EXL, based in OR, United States.

Please review the full job details above before applying.

If your experience matches this role, we encourage you to apply.

All applications are reviewed carefully by our team.

The position is based in OR, United States.

This opportunity is part of our work in Finance, Bio & Pharmacology & Health.