Remote Clinical Readmission Quality Analyst

ExlService Holdings, Inc.; United States; Remote; USD 60,000 - 99,000; Full time

Job summary

EXL Service is seeking a Clinical Readmission Quality Analyst to oversee auditing staff and ensure accuracy, consistency, and documentation quality in readmission determinations. This role emphasizes applying expert clinical knowledge to inpatient records and providing coaching to auditors.

You will review random and targeted samples, identify quality trends, and support calibration and process improvements to strengthen overall audit quality and performance.

Responsibilities

• Expert clinical knowledge when reviewing inpatient medical records to confirm that audit determinations are clinically supported and properly documented.
• Perform quality reviews of random and targeted samples of completed readmission audits and identify quality trends.

Job description

EXL Service is seeking a Clinical Readmission Quality Analyst to oversee auditing staff and ensure accuracy, consistency, and documentation quality in readmission determinations. This role emphasizes applying expert clinical knowledge to inpatient records and providing coaching to auditors.

You will review random and targeted samples, identify quality trends, and support calibration and process improvements to strengthen overall audit quality and performance.