The Senior Outpatient Coding Auditor & Provider Education Specialist serves as a key liaison between EXL’s healthcare payer clients and those providers selected into the EXL education program by delivering clear, accurate, and constructive guidance on coding practices. This
Senior Clinical Coding Auditor & Trainer-Remote The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding processes for Fiscal care and assist in development of training and audit tools. Location: The Senior Clinical Coding Auditor & Trainer position is primarily
Job Posting Melville,NY - USA Position Requirements Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits
Are you a nurse with a strong understanding of inpatient care and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This
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
Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team! This role offers a fully remote
Are you a nurse with a strong understanding of inpatient care and a passion for getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This
In this fully remote position as a Skilled Nursing Facility auditor you will apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim including coding validation, payment accuracy,
The ideal candidate will bring a strong background in clinical care, auditing, or coding, along with the ability to translate complex operational concepts into effective, learner-centered training solutions. This role partners with a cross-functional, fully remote team
This is a remote office opportunity. The Quality Analyst III oversees work performed by the high cost drug audit program to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of
As a team member in Finance at Nationwide, a Fortune 100 company with nearly $70 billion in annual sales, the opportunities are endless! Let Nationwide help create your career journey! At Nationwide®, “on your side” goes
The DRG Manager leads the planning, coordination, and execution of DRG audit activities, ensuring teams meet client SLAs and operational goals. This role oversees inventory, aging, risks, and day-to-day performance, while collaborating cross-functionally to support program
Are you a seasoned Diagnosis Related Group (DRG) or All Patient Refined Diagnosis Related Groups (APR DRG) auditor who loves mentoring others, digging into data, and making things better? Want to take your auditing expertise to the
Audit Coordination Manager Lead and coordinate all phases of external regulatory audits across Medicare Advantage, Medicare Part D, Medicaid Managed Care (including Child Health Plus), and Commercial (on and off exchange) plan products, ensuring timely and