Clinical Readmission Review Quality Analyst
$60.1k - $98.7kExlService Holdings , Inc.
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. For more information on benefits and what we offer please visit us at #J-18808-Ljbffr
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Clinical Readmission Review Quality Analyst in New York, NY vacancy
- ...EXL Service is seeking a Clinical Readmission Quality Analyst to oversee auditing staff and ensure accuracy, consistency, and documentation quality... ...inpatient records and providing coaching to auditors. You will review random and targeted samples, identify quality trends,...SuggestedRemote work
ExlService Holdings , Inc.
New York, NY2 days ago - Devoted Health invites applications for a Clinical Readmission Manager to lead inpatient readmission reviews and related post-discharge assessments. The role requires... .... You will work across Payment Integrity, quality, utilization management, and other teams to ensure...SuggestedRemote work
$62.7k - $97.2k
...compliance, process improvement, medical record review and coding, and member and provider... ...improvements related to the potential of quality medical care and service to members and... ...the ability to understand and interpret clinical data. Travel Requirement 0% - 25%. Physical...SuggestedFor contractorsWork at officeLocal areaRemote workHighmark Health
New York, NY4 days ago- ...study costs. By embedding high-quality research within local communities, Hawthorne makes clinical trials more accessible and... ...Clinical Imaging Quality & Data Analyst – Temporary, Up to 40 Hours/Week... ...within a specific timeline. Reviewing project data within a specific...SuggestedTemporary workLocal areaRemote work
Hawthorne Health, Inc.
New York, NY4 days ago - ...Holdings, Inc. is offering a remote office opportunity for a Quality Analyst who oversees work performed by the Clinical CVA auditors to ensure EXL’s standard of accuracy is met. The analyst conducts quality reviews of random and targeted CVA audits, supporting rigorous...SuggestedRemote jobWork at office
$85k - $100k
...remote office opportunity. The CVA Quality Analyst oversees work performed by the Clinical auditors to ensure that EXL’s... ...The analyst undertakes a quality review of random and targeted clinical... ...experience. Prefer candidate with prior readmission (PPR) auditing experience....Work at officeRemote workEXL
New York, NY3 days ago- ...Highmark Inc. seeks a healthcare quality professional to collaborate with compliance, process improvement, medical record review, and coding teams across product lines to enhance documentation and ICD-10-CM coding for members. The role supports STARS and value-based care...
Highmark Health
New York, NY3 days ago - ...Blue Cross NC is seeking a Clinical Quality Management Analyst to evaluate, analyze, and monitor staff or provider performance, delivering feedback and action plans to improve quality. The role supports learning solutions and ensures alignment with regulatory requirements...Remote workFlexible hours
Blue Cross and Blue Shield of North Carolina
New York, NY2 days ago $57k - $75k
...impact millions of lives in a profound way, apply today. The Clinical Quality Analyst is responsible for ensuring quality medical and clinical... ...areas of risk. The Clinical Quality Analyst will also review incident reports, support serious incident analysis, participate...Full timeWork at officeLocal areaRemote work$20 - $50 per hour
...Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.Position: Quality Analyst Type: Contract Compensation: $20–$50/hour Location:... ...experience in quality assurance, quality control, or a similar review-focused role.Strong attention to detail and a sharp eye for errors...Contract workSummer workRemote workMercor Inc
New York, NY4 days ago$85.56k - $97.13k
...Clinical Quality Consultant In Brief We're a rapidly growing startup on a mission to make healthcare proactive by empowering physicians, nurses... ...and BioTech AI Company of the Year. Read more about our peer-reviewed research in Nature Medicine associating our products with...Full timeTemporary workLive inLocal areaRemote workHome officeHealth Data Innovations Inc
New York, NY3 days ago- Crossing Hurdles is seeking an Image Evaluation Expert to work remotely from the United States on a contract basis. You will upload photographs, compare real and AI-generated images, and assess lighting, perspective, and textures with detailed written feedback. Applicants...Contract workRemote work
Crossing Hurdles
New York, NY5 hours ago $112.7k - $193.2k
...Clinical Quality Consultant For The Oncogenetic Program Optum is a global organization that delivers care, aided by technology to help... ...teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider...Remote jobMinimum wageFull timeWork experience placementLocal area- New York Workers' Compensation Report Reviewer / Quality Analyst Job Summary The New York Workers' Compensation Quality Analyst is responsible for managing the various aspects of the medical file review process. They will review the completed referral to ensure client...Temporary workRemote workWork from home
- ...NoDesk seeks detail-oriented professionals to review AI-generated content and annotated data for accuracy, clarity, and consistency. This role suits editors, teachers, instructional designers, QA specialists, researchers, or AI data annotators. You will apply guidelines...
NoDesk
New York, NY4 days ago - ...EXL is seeking a Quality Analyst to oversee and perform clinical CVA audits ensuring accuracy in inpatient DRG coding. The role involves reviewing audits for consistency, coaching clinical DRG auditors, and driving quality improvements across processes. The position requires...Remote work
EXL
New York, NY2 days ago - ...services, along with unmatched clinical expertise, we are able to... ...We are seeking a Medical QA Analyst (Oncology) with Software Engineer... ...) experience to support the quality, accuracy, and compliance of... ...patient care documentation. Review requirements, user stories, and...
LinkedIn
New York, NY3 days ago - ...while submitting an application, please review these frequently asked questions.... ...to your application. Job Title: Coding Quality Analyst Department: Health System Shared Services... ...ambulatory surgery, observation, and series/clinics. Required: Bachelors degree or...Work at officeRemote workShift workDay shift
- ...State of Arizona. Purpose of the Job The Clinical Trainer and Auditor is responsible for planning... ...Program Audit, and/or AHCCCS Operational Review Prior audit experience Education Bachelor... ...Training Customer service excellence Quality and performance metrics Ongoing...Full timeWork experience placementRemote work1 day per week
Blue Cross Blue Shield of Arizona
New York, NY1 day ago $61.29k - $84.66k
...through a rigorous focus on quality that has resulted in some of... ...recently placed nine of its clinical specialties among the top five... ...team as a Quality Assurance Analyst. In this role, the successful... ...solutions. Job Responsibilities Review and understand workflows and...$24.76 - $38.7 per hour
...Regeneron is currently looking for a Quality Control (QC) Analyst to join our Biochemistry Gels Team. Regeneron... ...proteins and those involved in clinical studies. The QC Analyst will be part... ...the QC commercial operations. Review test results to ensure compliance with...Hourly payWorldwide- Overview The QC Analyst will support late-stage clinical and commercial programs by performing and reviewing analytical testing in a cGMP-regulated environment. This position requires... ...of analytical methods to ensure product quality and regulatory compliance....Full time
- ...WCG is seeking a coverage analyst in the United States to support site clients by evaluating clinical trial coverage and determining appropriate billing practices.... ...coding software to identify CPT/HCPCS codes while maintaining quality review standards. #J-18808-Ljbffr...
WCG
New York, NY1 day ago $58k - $63k
...Clinical Analyst page is loaded## Clinical Analystlocations: Richmond University Medical Center... ...and vendors to ensure maximum uptime and quality support. As well as identifies and... ...clinical system analyst to independently reviews, analyzes and modifies configuration/programming...Work at officeDay shiftRumcsi
New York, NY4 days ago- ...code maintenance. As the IT Healthcare Consultant – Business Analyst – Advanced (Clinical Analyst and Coding Specialist): Responsibilities Initiates... ...of all ICD-10, CPT/HCPCS coding changes. Performs initial review of codes to determine scope of changes. Prepares listings...Work at officeLocal areaRemote work
US Tech Solutions
New York, NY5 days ago $84.58k - $112.55k
...Senior Epic Clinical Analyst I - Ambulatory (Certification required) Epic New York, NY Full-Time... ...regular day-to-day communication, reviews the software, demonstrates a deeper understanding... ...meeting facilitation. Ensures all quality assurance processes are followed,...Full timeNYU Langone Health
New York, NY4 days ago$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Overview This auditing role will... ...of those audits, with a focus on clinical review, coding accuracy, medical necessity, and... ...Maintains production goals, accuracy and quality standards set by the audit for the auditing...Hourly payContract workWork at officeImmediate start- ...people's lives. Work Shift Job Summary The Clinical Documentation Integrity (CDI) Auditor... ...collaborating. The CDI Auditor evaluates the quality and accuracy of the clinical... ...Performs staff, PSI, HAC, HAI, mortality, etc. reviews remotely as assigned by the management....Immediate startRemote workShift work
- EXL is seeking a Clinical Validation Auditor to review inpatient medical records, apply clinical judgment, and ensure accurate DRG code assignments. This fully remote role is based in the United States. You will assess medical documentation for coding accuracy, identify...Remote job
- WellSense Health Plan is seeking a Clinical Auditor I to perform detailed retrospective chart audits, verifying that medical documentation... ...ensure accurate billing and compliance with policy. You will review outpatient, professional, and ancillary claims, identify...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Readmission Review Quality Analyst. Be the first to apply!
Related searches
- quality improvement analyst New York, NY
- quality analyst New York, NY
- remote call center quality analyst New York, NY
- quality management nurse New York, NY
- quality rater New York, NY
- quality tech New York, NY
- quality and environmental manager New York, NY
- vice president of quality New York, NY
- aerospace quality New York, NY
- quality improvement nurse New York, NY