Clinical Readmission Review Auditor III

EXLUnited States,
$70,000 - $98,700Remote

About The Position

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.

Requirements

  • A brief coding/auditing assessment may be included as part of the interview process.

Responsibilities

  • Evaluate the clinical circumstances surrounding related inpatient admissions.
  • Assess the care delivered during inpatient admissions.
  • Review discharge planning processes.
  • Determine if subsequent admissions were clinically related or potentially preventable.

Benefits

  • Fully remote within the United States
  • Up to 10% annual travel for team meetings or limited client engagements
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