[Hiring] Outpatient Auditor III @EXL

🌍 Remote, USA 💹 Full-time 🕐 Posted Recently

Job Description

Role Description

Are you a skilled Outpatient Auditor with deep expertise in infusion services, complex surgeries, interventional radiology, and hospital-based outpatient care? Do you bring a strong commitment to coding accuracy, regulatory compliance, and appropriate reimbursement? If so, EXL Health is excited to welcome you to our remote auditing team!

As a

Remote Certified Outpatient Auditor

    , you’ll apply your in‑depth knowledge of CPT coding, outpatient regulatory guidelines, and APC reimbursement to review outpatient claims across a variety of clinical specialties. Your work will support providers, payers, and patients by:
  • Validating billed CPT codes
  • Identifying discrepancies
  • Ensuring adherence to industry standards

This role is

fully remote

, with

up to 10% annual travel

for team meetings and occasional client onsite engagements.

    Qualifications
  • Deep expertise in infusion services, complex surgeries, interventional radiology, and hospital-based outpatient care
  • Strong commitment to coding accuracy and regulatory compliance
    Requirements
  • In-depth knowledge of CPT coding
  • Understanding of outpatient regulatory guidelines
  • Familiarity with APC reimbursement
    Benefits
  • Fully remote work environment
  • Up to 10% annual travel for team meetings and client engagements

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