[Hiring] Outpatient Auditor III @EXL

Role Description

Are you an experienced Outpatient Facility Auditor with strong APC reimbursement expertise in hospital-based outpatient services? Do you enjoy analyzing APC groupings, status indicators, payment logic, and CMS OPPS compliance across infusion services, outpatient surgeries, and interventional radiology?

EXL Health is seeking a highly skilled auditor to join our growing remote outpatient auditing team, where your work will focus exclusively on facility‑based outpatient claims and APC reimbursement. This role is ideal for auditors who specialize in hospital outpatient facility coding and reimbursement.

As a Remote Certified Outpatient Facility Auditor, you will apply your in‑depth knowledge of CPT/HCPCS coding, APC payment methodologies, and outpatient regulatory guidelines to audit UB‑04 facility claims only, ensuring accurate APC assignment, proper packaging, and compliant facility billing.

• Salary Range: $70,000 – $90,000 (based on experience, skills, and qualifications)
• Location: 100% Remote (U.S.-based)
• Up to 10% annual travel (for team meetings and limited client onsite engagements)
• A brief coding/auditing assessment may be included as part of the interview process

Qualifications

• Strong APC reimbursement expertise in hospital-based outpatient services
• In-depth knowledge of CPT/HCPCS coding
• Familiarity with APC payment methodologies
• Understanding of outpatient regulatory guidelines

Requirements

• Experience in auditing UB‑04 facility claims
• Ability to ensure accurate APC assignment
• Proficient in proper packaging and compliant facility billing

Benefits

• Competitive salary range
• Remote work flexibility
• Annual travel opportunities