Quality Analyst - Diagnosis-Related Group (DRG), Healthcare
$70k - $110kExlService Holdings, Inc.
EXL Health, is seeking an experienced Clinical Diagnosis-Related Group (DRG) Quality Analyst. This is a remote office opportunity. The Quality Analyst IV oversees work performed by the Clinical DRG auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted clinical DRG audits. A brief coding/auditing assessment may be included as part of the interview process Salary Range is: $70k - $110k For more information on benefits and what we offer please visit us at The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. 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. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. #J-18808-Ljbffr ExlService Holdings, Inc.
$85k - $110k
This is a remote office opportunity. The DRG Quality Analyst oversees work performed by the Clinical DRG auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted clinical DRG audits. A brief coding/auditing...SuggestedWork at officeRemote work- About The Auctus Group LLC Who we are: We’re big on people... ...The Senior Reporting Quality Assurance & Data Validation Analyst is responsible for ensuring... ...of reports across healthcare practice management systems... ...validation, reconciliation, or a related analytical role....SuggestedRemote workWork from home
- ...BPM services with decades of healthcare domain expertise to help clients... ...is to promote excellent call quality, contact handling and... ...measurement. Job title: Quality Analyst Job Description: Education: High... ...SOP’s and applicable work related guidance documents. Responsibilities...SuggestedImmediate startRemote workWork from home
- EXL is seeking a remote Quality Analyst to supervise the Clinical CVA auditing process, ensuring accuracy and consistency across audits. The... ...role includes mentoring auditors, applying clinical judgment to DRG reviews, and driving quality improvements. The position...SuggestedRemote job
- Highmark Inc. is seeking a healthcare quality and compliance professional to lead process improvement, medical record review and coding support... ...ideal candidate has current RN/LPN license or a healthcare-related Bachelor's degree, plus 3 years of nursing or healthcare...SuggestedRemote job
$85k - $92k
This is a remote opportunity. The Quality Analyst oversees work performed by the Outpatient audit program to ensure that EXL’s standard of... ...performed by validating the accuracy of the coding billed in relation to the medical documentation. The coding auditor determines if...Remote work- ...Market Risk- Data Quality Analyst Company Overview Business Integration Partners (BIP) is... ...clients. With a strong presence across Healthcare, Life Sciences, Pharmaceutical, and... ...Support regulatory, risk, and audit-related reporting requirements. Required Qualifications...Full timeTemporary workRemote workWorldwide
- ...fundamentally new approach to healthcare built for medical reasoning,... ...seniority of the role. Role As a QA Analyst on the Mind team, you won't... ...care experiences, making quality, safety and usability... ...Psychology, Mental Health or related fields. Genuine interest in mental...Shift work
$45k - $70k
...Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services... ...healthcare delivery, control costs, and maintain quality care. \3 Key Responsibilities Conduct... ...' Compensation, Disability, Auto, and Group Health Carriers, Third‑Party...Temporary workWork at officeRemote workWork from home$70k - $110k
EXL Health seeks an experienced Clinical DRG Quality Analyst IV for a remote role. The analyst will oversee DRG auditors to ensure accuracy and will perform quality reviews on random and targeted clinical DRG audits. A coding/auditing assessment may be included during interviews...Remote job$60.1k - $98.7k
...Apply clinical judgment for DRG audits to ensure accuracy of... ...Recommend process changes to improve quality and performance Communicate... ...including insurance, healthcare, banking and financial services... ...why clients, employees, and analysts think we’re some of the best...- The Auctus Group is hiring a Senior Reporting Quality Assurance & Data Validation Analyst to ensure the accuracy and consistency of reports across healthcare practice management systems, EHRs, billing platforms, and internal dashboards. This role partners with the Reporting...
- ..., GitLab, etc.) Strong understanding of software architecture patterns Soft Skills Strong problem-solving and analytical abilities Excellent communication and cross-team collaboration Ability to work in a fast-paced, onsite environment #J-18808-Ljbffr TechDigital Group
- Highmark Inc. seeks a healthcare quality professional to collaborate with compliance, process improvement, medical record review, and coding... ..., and training for providers, and coordinates credentialing-related activities to ensure quality outcomes across programs. #J-1...
$62.7k - $97.2k
...lines. Recommends and implements process improvements related to the potential of quality medical care and service to members and to improve documentation... ...state RN or LPN license or Bachelor’s degree in a Healthcare-related field Substitutions 6 years of experience...For contractorsWork at officeLocal area- ...Scenarios Defect Reports Position Title: Healthcare QA Analyst (Membership & Claims) Location:... ...retrospectives. Ensure delivery of high-quality healthcare software solutions within... ...Systems, Healthcare Administration, or related field. Nice-to-Have Experience with...Contract workRemote work
$84.34k
Remote Health Insurance QA Analyst Introduction Join a forward-thinking... ...systems align with evolving healthcare regulations. This is a unique... ...meaningfully, where each quality assurance effort contributes... ...Information Systems, Public Health, or related technical discipline....Remote jobWork from homeHome officeFlexible hours$24.76 - $38.7 per hour
...worldwide. We are looking to fill a Quality Control (QC) Microbiology Analyst position. Our Microbiology Analysts perform microbiological assays related to clean room monitoring, utility monitoring... ...holiday leave Showing slide 1 of 4 (group 1 of 2) Our hiring process From...Hourly payWork at officeWorldwideRelocationShift workNight shiftAfternoon shift$68.9k - $99.62k
The Configuration Analyst of Office365 is responsible... ...underpayments, overpayments, quality gaps, and operational... ..., or other healthcare operations environment... ...methodologies such as DRG, APC, APG, per diem, percent... ...position, your salary and related elements of compensation...Daily paidContract workTemporary workWork experience placementWork at office$26 - $28.5 per hour
Immediate need for a talented Quality Review and Audit Analyst . This is a 03+ months contract opportunity... ...records reviews with accurate diagnosis code abstraction in accordance with... ...Risk Adjustment programs and policies related to documentation and coding compliance...Contract workLocal areaImmediate startRemote work$92.07k - $112.53k
Quality Improvement Analyst II The Quality Improvement Analyst II is responsible... ...advanced analysis of key health-related metrics and program data to... ...principles Knowledge of healthcare quality metrics (e.g. CCO... ...with diverse individuals and groups Ability to learn, focus,...Work at officeLocal areaWork from homeFlexible hours$57k - $75k
...that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported... ...way, apply today. The Clinical Quality Analyst is responsible for ensuring quality... ...quality assurance and clinical audits related to medical and clinical functions for quality...Full timeWork at officeLocal areaRemote work- Dunhill Government Solutions is seeking a Quality Assurance Analyst for a fully remote, U.S.-based role focused on a federal healthcare program and marketplace oversight. You will join a data and testing team skilled in Microsoft technologies (SharePoint, Power Apps, Power...Remote job
$40.3k - $57.6k
...their operations. Join the group that solves business challenges... ...-oriented Call Center Quality Assurance Analyst to support Oklahoma's Medicaid... ...center technologies. Healthcare, Medicaid, Medicare, health... ...region, internal equity, job-related knowledge, skills, and experience...Remote jobFull timeWork at officeFlexible hours$61.29k - $84.66k
...through a rigorous focus on quality that has resulted in... ...a Quality Assurance Analyst. In this role, the... ...operating procedures related to Hospital Billing revenue... ...a hospital billing or healthcare revenue cycle... ...and employee resources groups for peer support. Additionally...- Sword Health is hiring a QA Analyst on the Mind team to validate what’s built and help shape what gets built. You’ll collaborate with... ...contributing to QA processes and automation to deliver safe, effective AI-powered healthcare experiences. #J-18808-Ljbffr Sword Health
$40.9k - $58.4k
...their operations. Join the group that solves business challenges... ...As a Provider Enrollment Quality Assurance Analyst - AR (Remote) at Gainwell,... ...solutions to some of healthcare’s biggest challenges. Here... ...region, internal equity, job-related knowledge, skills, and experience...Remote jobFull timeWork at officeMonday to FridayFlexible hours- ...Задачи: Uphold is looking for a Quality Assurance Analyst to join our Engineering... ...in Computer Science or a related field. 2+ years of relevant... ...networking opportunities across the group. Development Opportunities:... ...performance. Generous PTO, healthcare, and employee assistance...Work at officeWork from homeShift work
$27 per hour
GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations... ...healthcare partner by upholding the highest standards of quality, information security, and compliance. At GeBBS, we foster a...Hourly payPart timeWork at officeRemote workMonday to Friday$61.2k - $65k
Public Consulting Group LLC (PCG) is a leading public sector solutions implementation... ...Feasibility Studies The Title IV-E Quality Assurance Analyst I is required to work remotely... ...work, public policy, or other closely related fields. Experience: A minimum of three...Work experience placementH1bWork at officeLocal areaRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Quality Analyst - Diagnosis-Related Group (DRG), Healthcare. Be the first to apply!
- quality analyst New York, NY
- quality improvement analyst New York, NY
- remote call center quality analyst New York, NY
- quality reviewer New York, NY
- quality coach New York, NY
- air quality New York, NY
- quality intern New York, NY
- quality facilitator New York, NY
- quality and environmental manager New York, NY
- quality rater New York, NY


