CDI Quality Review RN
Dallas, TX · On-site
JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and ...
Dallas, TX · On-site
JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and ...
Dallas, TX · On-site
JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and ...
Dallas, TX · On-site
JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and ...
Dallas, TX · On-site
JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and ...
Dallas, TX · On-site
JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and ...
Dallas, TX · On-site
JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and ...
Dallas, TX · On-site
JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and ...
Dallas, TX · On-site
JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and ...
Shaker Heights, OH · Remote
$33.50 - $45/hr
Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of ...
Shaker Heights, OH · Remote
$33.50 - $45/hr
Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of ...
Shaker Heights, OH · On-site +1
$33.25 - $45/hr
Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of ...
Shaker Heights, OH · On-site +1
$33.25 - $45/hr
Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of ...
Shaker Heights, OH · Remote
$33.50 - $45/hr
Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of ...
Shaker Heights, OH · Remote
$33.50 - $45/hr
Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of ...
Overland Park, KS · On-site
$24 - $26/hr
Experience in second-level review workflows preferred. * Relativity reviewer certification preferred. Benefits & Work Conditions : Repario offers an extensive array of benefits that help our ...
Overland Park, KS · On-site
$24 - $26/hr
Experience in second-level review workflows preferred. * Relativity reviewer certification preferred. Benefits & Work Conditions : Repario offers an extensive array of benefits that help our ...
Experience in second-level review workflows preferred. * Relativity reviewer certification preferred. Benefits & Work Conditions : Repario offers an extensive array of benefits that help our ...
Experience in second-level review workflows preferred. * Relativity reviewer certification preferred. Benefits & Work Conditions : Repario offers an extensive array of benefits that help our ...
This position includes such things as auditor, second level reviewer, team lead, preceptor, and educator. The CDI Senior Consultant is expected to work with customers, CDI team members both internal ...
This position includes such things as auditor, second level reviewer, team lead, preceptor, and educator. The CDI Senior Consultant is expected to work with customers, CDI team members both internal ...
... second level reviews. - Identify DRG mismatches and manage and collaborate with Coding team on reconciling DRG mismatches. -Develop montly educational topics for CDSs based on opportunities ...
... second level reviews. - Identify DRG mismatches and manage and collaborate with Coding team on reconciling DRG mismatches. -Develop montly educational topics for CDSs based on opportunities ...
Serve as second level reviewer for UM, providing guidance on appropriate/alternative levels of care based on InterQual guidelines and other appropriate criteria. * Function as consultant to and ...
Serve as second level reviewer for UM, providing guidance on appropriate/alternative levels of care based on InterQual guidelines and other appropriate criteria. * Function as consultant to and ...
Bronx, NY · On-site
$115K/yr
... second level reviews. - Identify DRG mismatches and manage and collaborate with Coding team on reconciling DRG mismatches. -Develop montly educational topics for CDSs based on opportunities ...
Bronx, NY · On-site
$115K/yr
... second level reviews. - Identify DRG mismatches and manage and collaborate with Coding team on reconciling DRG mismatches. -Develop montly educational topics for CDSs based on opportunities ...
This is a second-level review role -- not an initial underwriting position. There's no new credit decisions -- just your sharp eye for quality assurance, program eligibility, and risk management.
This is a second-level review role -- not an initial underwriting position. There's no new credit decisions -- just your sharp eye for quality assurance, program eligibility, and risk management.
Grand Rapids, MI · On-site
$24.50/hr
This is a second-level review role - not an initial underwriting position. There's no new credit decisions - just your sharp eye for quality assurance, program eligibility, and risk management. This ...
Grand Rapids, MI · On-site
$24.50/hr
This is a second-level review role - not an initial underwriting position. There's no new credit decisions - just your sharp eye for quality assurance, program eligibility, and risk management. This ...
Pittsburgh, PA · On-site
This position includes such things as auditor, second level reviewer, team lead, preceptor, and educator. The CDI Senior Consultant is expected to work with customers, CDI team members both internal ...
Quick apply
Pittsburgh, PA · On-site
This position includes such things as auditor, second level reviewer, team lead, preceptor, and educator. The CDI Senior Consultant is expected to work with customers, CDI team members both internal ...
Lake Worth, FL · Remote
$24.50/hr
This is a second-level review role -- not an initial underwriting position. There's no new credit decisions -- just your sharp eye for quality assurance, program eligibility, and risk management.
Quick apply
Lake Worth, FL · Remote
$24.50/hr
This is a second-level review role -- not an initial underwriting position. There's no new credit decisions -- just your sharp eye for quality assurance, program eligibility, and risk management.
Lake Worth, FL · On-site
$24.50/hr
This is a second-level review role - not an initial underwriting position. There's no new credit decisions - just your sharp eye for quality assurance, program eligibility, and risk management. This ...
Lake Worth, FL · On-site
$24.50/hr
This is a second-level review role - not an initial underwriting position. There's no new credit decisions - just your sharp eye for quality assurance, program eligibility, and risk management. This ...
Grand Rapids, MI · Remote
$24.50/hr
This is a second-level review role -- not an initial underwriting position. There's no new credit decisions -- just your sharp eye for quality assurance, program eligibility, and risk management.
Quick apply
Grand Rapids, MI · Remote
$24.50/hr
This is a second-level review role -- not an initial underwriting position. There's no new credit decisions -- just your sharp eye for quality assurance, program eligibility, and risk management.
Can perform first or second level medical review as needed * Conducts in-depth claims analysis utilizing ICD-9-CM, ICD-10-CM, CPT-4, and HCPCS Level II coding principles * Applies the interpretation ...
Can perform first or second level medical review as needed * Conducts in-depth claims analysis utilizing ICD-9-CM, ICD-10-CM, CPT-4, and HCPCS Level II coding principles * Applies the interpretation ...
$10.58 - $14.03
1% of jobs
$14.03 - $17.48
13% of jobs
$17.48 - $20.94
4% of jobs
$22.31 is the 25th percentile. Wages below this are outliers.
$20.94 - $24.39
18% of jobs
$24.39 - $27.84
14% of jobs
The median wage is $27.95 / hr.
$27.84 - $31.29
17% of jobs
$31.29 - $34.75
7% of jobs
$35.14 is the 75th percentile. Wages above this are outliers.
$34.75 - $38.20
12% of jobs
$38.20 - $41.65
8% of jobs
$41.65 - $45.10
5% of jobs
$45.10 - $48.56
1% of jobs
$10
$29
$48
| Aspect | Second Level Reviewer | Quality Control Inspector |
|---|---|---|
| Credentials | Typically requires a relevant degree or certification in quality assurance or related field | Often requires certifications like ISO or industry-specific quality standards |
| Work Environment | Usually works in office settings reviewing documentation and reports | Primarily works on the production floor inspecting products or processes |
| Employer & Industry Usage | Common in manufacturing, aerospace, and healthcare industries for review roles | Used across manufacturing, electronics, and consumer goods for inspection roles |
The main difference is that a Second Level Reviewer focuses on reviewing and verifying documentation and processes, often in an office setting, while a Quality Control Inspector physically inspects products or processes on the production line. Both roles are essential for maintaining quality standards but serve different functions within the quality assurance process.

Other
Medical, Retirement, PTO
Posted 18 days ago
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The focus of the Quality Review Nurse will be on identifying and capturing methodology-specific risk variables (Vizient, HCC's, Elixhauser) on a post-discharge, pre-coding/billing basis, as well as identifying potential process improvements to capture the opportunities concurrently. The Quality Review Nurse will also validate that the record reflects the most appropriate principal diagnosis and diagnosis related group (DRG). The Quality Review Nurse will support the objective for accurate reflection of patient acuity, severity of illness, risk of mortality, and DRG assignment in compliance with industry rules and regulations.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
Preferred
JOB DUTIES
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.