The Clinical Readmission Review Quality Analyst oversees work performed by Clinical Readmission Review Auditors to ensure EXL’s standard of accuracy, consistency, and documentation quality is met. The analyst performs quality reviews of random and targeted samples of completed readmission audits and applies expert clinical knowledge when reviewing inpatient medical records to confirm that audit determinations are clinically supported, appropriately documented, aligned with program requirements, and supported by clear rationale. This role identifies quality trends, provides feedback and coaching support to auditors, supports calibration, and recommends process improvements to strengthen overall audit quality and performance.
Salary Range: $60,100 - $98,700 | Location: 100% Remote, U.S.-based | Travel: Up to 10% annually
A quality review, clinical audit, or written documentation assessment may be included as part of the interview process.
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Originally posted on Himalayas