Clinical Validation Audit (CVA) Trainer

The CVA Trainer plays a critical role in improving audit consistency, accuracy, and completeness by translating audit outcomes into effective learning experiences. This role partners closely with Clinical Auditors, Quality Analysts, and Subject Matter Experts to ensure training content reflects current coding guidelines, clinical validation requirements, and audit expectations.

Leveraging deep clinical knowledge, the CVA Trainer strengthens audit quality by translating DRG validation requirements into engaging, effective training that reinforces accurate provider-billed DRG assignment and alignment with EXL’s accuracy standards. 

Salary Range: $85k - $110k

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.

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

Responsibilities

• Deliver engaging and impactful learning experiences to new hire and tenured CVA coders
• Apply clinical and DRG expertise to support training and education related to inpatient DRG validation and coding accuracy.
• Review clinical DRG audit outcomes to assess consistency and accuracy, using findings to inform training, coaching, and remediation efforts.
• Mentor and coach Clinical DRG Auditors through targeted education, feedback, and knowledge reinforcement.
• Analyze audit trends and identify learning gaps or referral needs for additional DRG coding education or review.
• Perform root cause analysis on audit errors and translate findings into actionable training and performance support.
• Utilize industry standards and EXL proprietary tools to support DRG validation training and education.
• Develop clear, professional training communications and materials that document audit scenarios, findings, and clinical rationale.
• Recommend training and process improvements to enhance audit quality and performance outcomes.
• Communicate effectively with peers, auditors, and management regarding training needs, trends, and progress.
• Perform all responsibilities in accordance with company compliance, information security, and regulatory requirements.
• Perform other duties as assigned.

Qualifications

• Registered Nurse, associate or bachelor's degree
• 5+ years of acute care nursing experience with preference given to candidates with prior clinical or coding validation audit experience.
• 2+ years of experience facilitating training delivery
• Prefer candidate with prior DRG retrospective overpayment identification auditing experience.
• Prefer candidate with prior readmission (PPR) auditing experience.
• Preference given to candidates with CCS, RHIA, or RHIT coding credentials.

Knowledge and Skills: 

• Demonstrated skill in training facilitation, including delivering instructor-led, virtual, and blended training to adult learners.
• Ability to explain complex coding guidelines and audit concepts in a clear, engaging, and practical manner.
• Strong communication and facilitation skills, with the ability to engage learners and manage group dynamics in a virtual environment.
• Analytical skills to identify knowledge gaps, recurring errors, and training opportunities based on audit trends.
• Extensive knowledge and understanding of clinical criteria documentation requirements used to successfully substantiate code assignments.
• Ability to work collaboratively with Quality, Audit, and SME partners in a cross-functional, remote environment.
• Strong organizational and time-management skills to manage multiple training initiatives and deadline.
• Experience with DRG encoder tools (Solventum/3M, TruBridge, Webstrat).
• Works independently in a remote environment and delivers exceptional results during EXL core business hours.
• Possesses excellent time management and work prioritization skills
• Demonstrates excellent written and verbal communication skills, strong analytical skills, and attention to detail.
• Proficient in Excel, Word, and OneNote with general computer literacy.
• Comfort using technology-based training and collaboration tools (e.g., virtual meeting platforms, LMS, MS Teams)
• Passionate about DRG Auditing with a desire to work in an environment thriving on teamwork, excellence, collaboration

What we offer: 

• EXL Health offers an exciting, fast paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions. From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants
• You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time-management skills—key aspects for personal and professional growth
• We provide guidance/coaching to every employee through our mentoring program wherein every junior-level employee is assigned a senior-level professional as an advisor
• The sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond

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.