Remote Clinical Readmission Quality Lead

ExlService Holdings, Inc.; Northern (KY); Hybrid; USD 60,000 - 99,000; Full time

Job summary

ExlService Holdings, Inc. seeks a Clinical Readmission Review Quality Analyst to oversee auditors, perform quality reviews of inpatient records, and ensure audit determinations are clinically supported and well-documented.

The role drives quality improvements and coaching to auditors across the program. The position reports on quality trends, provides feedback, and supports calibration to strengthen audit performance.

Qualifications

• Clinical knowledge applied to reviews of inpatient medical records.
• Experience performing quality reviews or audits preferred.
• Ability to provide actionable feedback and coaching to auditors.

Responsibilities

• Oversee quality reviews of readmission audits performed by Clinical Readmission Review Auditors.
• Apply expert clinical knowledge to verify audit determinations are documented and supported.
• Identify quality trends and provide feedback and coaching to improve performance.
• Recommend process improvements to strengthen overall audit quality and efficiency.

Skills

Clinical knowledge

Quality auditing

Feedback & coaching

Data-driven reviews

Job description

ExlService Holdings, Inc. seeks a Clinical Readmission Review Quality Analyst to oversee auditors, perform quality reviews of inpatient records, and ensure audit determinations are clinically supported and well-documented.

The role drives quality improvements and coaching to auditors across the program. The position reports on quality trends, provides feedback, and supports calibration to strengthen audit performance.