Are you a nurse with a strong understanding of inpatient care and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you’ll use your clinical judgment to review medical records, validate billed DRG codes, and help identify overpayments. • Salary Range: $60,100 – $98,700 (based on experience, skills, and qualifications) • Location: 100% Remote (U.S.-based) • Up to 10% annual travel (for team meetings and limited client onsite engagements.) • A brief coding/auditing assessment may be included as part of the interview process What You’ll Be Doing: • Review inpatient medical records to verify that the DRG (Diagnosis-Related Group) code makes sense based on the documentation. • Apply clinical and coding knowledge to spot inaccuracies and identify potential overpayments. • Document your findings in clear, professional language that explains the rationale behind your review. • Use industry tools like 3M or Webstrat (don’t worry—we’ll train you if needed!) to support your decisions. • Work independently while meeting productivity and quality goals. • Stay up to date with clinical guidelines, DRG rules, and industry trends. What We’re Looking For: • Registered Nurse (RN) with an active license. • 5+ years of acute care experience (hospital setting preferred) • Experience in DRG audits or coding validation is a big plus! • Bonus points if you have certifications like CCS, RHIA, or RHIT • Knowledge of readmission reviews (PPR) is also a plus You’ll Be a Great Fit If You: • Love digging into the details and solving problems • Know how to explain clinical decisions clearly and professionally • Can manage your time well and stay focused working remotely • Are comfortable using tools like Excel, Word, and OneNote • Enjoy working as part of a supportive, high-performing team Why Work at EXL? At EXL, you’ll join a team that values collaboration, clinical accuracy, and continuous improvement. We offer the flexibility of remote work, a culture of support, and the opportunity to grow in the fast-evolving world of healthcare analytics. Ready to take the next step in your clinical career? Apply today and make a difference with EXL! For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits The posted base salary range is the hiring base salary range for this role. 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.