[Hiring] Outpatient Auditor II @EXL

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.
• Support providers, payers, and patients by validating billed CPT codes.
• Identify discrepancies and ensure 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.