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IRF Quality Analyst IV - Healthcare

Role overview

Qualifications

  • Strong IRF audit knowledge
  • Sound judgment
  • Attention to detail
  • Ability to determine auditor conclusions

Responsibilities

  • Perform random, targeted, and follow-up quality reviews
  • Identify quality trends and provide feedback to auditors
  • Participate in calibration and recommend process improvements
  • Ensure documentation quality and audit accuracy

Key facts

Hard skills

Other skills

  • Detail Oriented
  • Decisiveness

About the company

EXL logo

EXL

IT Services & IT Consulting

Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.

Company details

Company typeXLarge
IndustryIT Services & IT Consulting
Company size10001

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Job description

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.

For more information on benefits and what we offer, please visit: https://www.exlservice.com/us-careers-and-benefits

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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