Clinical Readmission Review Auditor III
$70k - $98.7kFull-time
EXL
This role focuses on evaluating the clinical circumstances surrounding related inpatient admissions, the care delivered, discharge planning, and whether the subsequent admission may have been clinically related or potentially preventable. The position is fully remote within the United States and may require up to 10% annual travel for team meetings or limited client engagements.
A brief coding/auditing assessment may be included as part of the interview process
Salary Range: $70,000 - $98,700 | Location: 100% Remote, U.S.-based | Travel: Up to 10% annually
For more information on benefits and what we offer please visit us at
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Clinical Readmission Review Auditor III in Remote vacancy
$63.74k - $95.26k
...Description The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other... ...at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted...SuggestedMinimum wageFull timeWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX6 days ago$68.57k - $104.84k
...Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG)... ...performing DRG validation (clinical/coding) reviews of medical records and/or other... ...any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted...SuggestedMinimum wageFull timeWork at officeLocal areaRemote workFlexible hoursCERIS Health
United States1 day ago$75k - $115k
...Office Job Description Join the PPD™ clinical research business of Thermo Fisher... ...About the Role As a GCP Clinical Auditor III, you will lead complex internal and external... ...You may also conduct technical document reviews and other Good Clinical Practice (GCP) activities...SuggestedFull timeWork at officeRemote workWork from homeRelocation packageRemote22 days ago- Optum Insight is seeking a Clinical Claim Review RN to perform compliance reviews of medical and administrative documentation to identify fraud... ...site visits, desk audits, and collaboration with a team of auditors to document findings and input data into audit systems. The...SuggestedRemote jobFull timeLocal area
$100k - $110k
...accurately represented. By combining deep clinical and coding expertise with advanced... ...performs pre-bill inpatient medical record reviews to identify coding opportunities, potential... ...exclusion criteria related to 30-day readmission and mortality quality measures for designated...SuggestedLocal areaRemote workMonday to Friday$97k - $117k
...leave, and more. The Nurse Coder DRG Auditor III’s primary responsibility is to operate... ...applying coding guidelines while reviewing supporting medical documentation, completing... ...Utilize coding guidelines and clinical guidelines to perform DRG or APC validation...Full timeWork at office- The Clinical Chart Auditor is responsible for conducting systematic reviews of patient medical records to ensure clinical documentation integrity and coding accuracy. This role is essential for minimizing audit risks, optimizing revenue cycle performance, and supporting...Full timeWork at officeRemote work
- ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity DRG Coding... .... This position is responsible for reviewing medical records for appropriate provider... ...on interna/external committees. Level III (in addition to Level II Accountabilities...Work experience placementRemote work
- ...and well-being of people and communities across the greater Phoenix area. Responsibilities: JOB SUMMARY The Clinical Trial Budget Analyst III serves as a subject matter expert in the development and negotiation of complex, multi-arm, and high-acuity clinical...Remote workMonday to FridayShift work
HonorHealth
United States1 day ago $90k - $105k
...and career development. Summary We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented...Full timeContract workRemote workFlexible hoursGainwell Technologies LLC
Texasmore than 2 months ago- Payment Integrity Analyst III - QA Analyst Job Category : CERIS Requisition Number :... ...responsibilities of this role which is accurately reviewing pre and post pay claim audits based on... ...work completed by PPI QC analysts and clinical appeal review teams as needed Reviews,...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hours
- ...Medical Review Nurse - Home Health Auditor Machinify is a leading healthcare intelligence company with expertise across the payment continuum,... ...functions and training team members. Cross train in all clinical departments/areas. Other duties as required to meet...Work at officeRemote work
Machinify, Inc.
United States4 days ago - ...Nurse Auditor Have you ever looked a medical bill and immediately noticed something... ...our team and maximize client savings by reviewing medical bills from a nurse perspective,... ...reasonable, appropriate and necessary. Clinically identify and evaluate any charges not related...Immediate startRemote work
Rising Medical Solutions
United States3 days ago - Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation. You will review medical records to ensure alignment with guidelines and regulations, and identify schemes such...Remote jobWork at office
- ...security. We currently have a potential vacancy for a midlevel Auditor/Financial Analyst III. In this role, you will be supporting the overall mission... ...the business' continued operation. Assist the counsel in reviews and analysis of bankruptcy cases submitted by individual...Full timeTemporary workWork at officeLocal areaRemote work
FSA Federal
Harrisburg, PA13 days ago - BioAge Labs seeks a Clinical Trial Manager (Senior Manager) to lead planning, execution, and delivery of phase I-III studies across regional and global programs. You will oversee budgets, timelines, CROs, vendors, and inspection readiness, ensuring data integrity and regulatory...Remote job
- ...Office of the Assessor-Recorder-County Clerk is recruiting for Auditor-Appraisers III who serve in a lead capacity and perform the most difficult... ...-Appraiser III job description. EXCELLENT BENEFITS To review job-specific benefits, refer to: Summary of Benefits and Memorandum...Permanent employmentWork experience placementWork at officeImmediate startVisa sponsorship
$4,523.16 - $7,253.83 per month
...webpage. Functional Title Financial Examiner III Job Title Financial Examiner III Agency... ...examiner III positions may also review financial compliance reports. The examinations... ...more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk...Full timeTemporary workPart timeRemote workShift work- Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a... ...and high-quality documentation. The role emphasizes strong clinical judgment, coding accuracy, and regulatory awareness. You will review...Remote jobWork from home
- ...Requirements ~ Current and valid PHRN license ~1 year work experience in a clinical setting ~ Knowledge with EMR/EHR (Electronic Medical Records/Electronic Healthcare Records) ~ Knowledge with MDS coding is a PLUS ~ Strong knowledge of prehospital patient...Full timeWork experience placementShift workNight shift
ISTA Solutions
Remote13 days ago $55 - $65 per hour
...Governance/Compliance- ability to work with auditors, explain IAM processes, and support... ...productionDescriptionThe IAM QA Analyst III, under limited supervision, provides support... ...includes, but is not limited to, assistance in review/analysis of mitigating controls,...Long term contractContract workTemporary workWork at officeLocal areaRemote work- ...symbol "TD". For more information visit Description1 position - QA III Fidelity RM3 months (possible extension up to 2 yrs.)Location:... ...be required to undertake the following tasks within the team:• Review, analyze and evaluate detailed business and functional...Remote work
- EPIC Application Analyst III Practice PlanEPIC Application Analyst III Practice PlanUTHealth Houston's Clinical Information Technology department is seeking an analyst to support... ...of new functionality of applications.Reviews, builds, tests, and implements new functionality...Full timeFor contractorsRemote work
$55 - $62 per hour
Lehrer Family Chiropractic is seeking a Remote Clinical Quality Analyst in the United States. This part-time role involves reviewing clinical records, conducting quality assurance audits, and supporting compliance processes. The ideal candidate has a degree in healthcare...Hourly payPart timeRemote workFlexible hoursLehrer Family Chiropractic
United States4 days ago- ...Sana Lake Sana Lake is expanding rapidly and is seeking a Clinical Chart Auditor who is passionate about helping individuals and families recover! The Clinical Chart Auditor is responsible for reviewing clinical and medical records across substance use disorder treatment...Full timeLive inRemote workFlexible hours
$55 - $62 per hour
...About the job Remote Clinical Quality Analyst , Remote Lehrer Family Chiropractic is seeking a reliable and detail-oriented Remote Clinical Quality Analyst to support documentation review, quality assurance, and administrative compliance processes. This is...Hourly payPart timeWork at officeRemote workMonday to FridayFlexible hoursLehrer Family Chiropractic
United States2 days ago$79.72k - $119.57k
...Anticipated End Date: 2026-09-08 Position Title: Behavioral Health Clinical Quality Audit Analyst Sr. Job Description: Behavioral... ...provider education and outreach interventions, medical record review, focus studies and surveys. Performs monthly, quarterly, annual...Full timeContract workTemporary workWork experience placementWork at officeLocal areaWork from homeMonday to Friday1 day per week$83.72k - $96.28k
...Midlevel Auditor/Financial Analyst IIIFSA Federal (FSA) is focused on delivering unsurpassed... ...for a midlevel Auditor/Financial Analyst III. In this role, you will be supporting the... ...operation.Assist the counsel in reviews and analysis of bankruptcy cases submitted...Temporary workWork at officeRemote workFSA Federal
Washington DC9 hours ago- ...Accredited Clinical Coding Auditor This post attracts a Recruitment and Retention premium of £2,500 per year. We are seeking an enthusiastic and experienced Accredited Clinical Coding Auditor to play a key role in shaping the future of our Clinical Coding service...Temporary workTraineeshipRemote workWork from homeFlexible hours
East Sussex Healthcare NHS Trust
United States16 hours ago $60k - $72k
...Clinical Data Quality Analyst Syracuse NY HealtheConnections, a respected national leader in providing health information exchange... ...and claims specialist. You'll apply this knowledge by reviewing and cleaning up information flows with a variety of team members...Minimum wageRemote workFlexible hoursHealtheConnections
Syracuse, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Readmission Review Auditor III. Be the first to apply!
