The IRF Quality Analyst performs random, targeted, and follow-up quality reviews to confirm that audit determinations are supported by the IRF-PAI, UB-04/final bill, acute inpatient discharge summary, complete IRF medical record, therapy documentation, physician documentation, nursing documentation, physician orders, MAR, pre-admission screening, individualized overall plan of care, and interdisciplinary team documentation. This position requires strong IRF audit knowledge, sound judgment, attention to detail, and the ability to determine whether auditor conclusions are fully supported by the record, aligned with client and program requirements, and clearly explained. The analyst identifies quality trends, provides feedback and coaching support to auditors, participates in calibration, and recommends process improvements that strengthen audit accuracy, documentation quality, consistency, and overall program performance.
Salary Range
$70,000 - $110,000
Based on experience, skills, and qualifications
Location 100% Remote
U.S.-based
Travel
Up to 10% Annual Travel
Team meetings and limited client onsite engagements
A quality review, IRF audit validation, coding/auditing assessment, or written documentation assessment may be included as part of the interview process.
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EXL is a global operations and business services company that provides consulting, advisory, analytics, and business process outsourcing (BPO) services to large enterprises across multiple industries. The company has significant expertise serving Banking & Financial Services (BFS) organizations, including banks, fintech companies, and credit unions. EXL works with clients on strategic initiatives including payment integrity audits, process optimization, and data-driven business intelligence. The company operates through a Global Client Services team focused on cultivating market presence and driving business development with new clients in key verticals.
