Job Summary
The IRF Quality Analyst is responsible for executing both random and targeted quality assessments to confirm that audit conclusions are backed by medical documentation and adhere to program specifications. This role involves offering feedback to auditors, identifying trends in quality, and suggesting enhancements to improve the precision of audits and the quality of documentation.
Responsibilities
- Conduct random and targeted quality reviews to verify the supported findings of audits.
- Provide constructive feedback to auditors to foster improvement.
- Analyze quality trends in audit processes.
- Recommend enhancements to streamline processes and boost accuracy in auditing and documentation.
Qualifications
- A minimum of 5 years of experience in inpatient facility coding, auditing, or reimbursement review is required.
- A high school diploma is the basic educational requirement.
- Preference for candidates holding degrees in health information management or nursing.
- Relevant coding certifications, such as CCS or RHIA, are highly desirable.
EXL provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
