About the EXL Insurance Premium Audit Group: A leader in the field, EXL can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform
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.
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
The Training Coordinator plays a critical role in supporting the full training lifecycle by partnering closely with the Senior Training Manager and Trainers to plan, coordinate, monitor, and continuously improve training operations. This role serves as
Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage Review and analyze denied claims and identify root causes Initiate outbound calls to provider offices for denial clarification and resolution Document call outcomes and update claim
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
Salary Range: $125,000 – $160,000 (based on experience, skills, and qualifications) Location: 100% Remote (U.S.-based) 10 - 25% annual travel (for team meetings and limited client onsite engagements.) For more information on benefits and what we
EXL is hiring a Senior Data Engineer to join a strategic AI / ML platform engagement with a leading specialty retailer. This is a hands-on build role embedded with the clients platform engineering team. The role requires
Position Summary The Behavioral Health Audit Subject Matter Expert (SME) serves as the organization’s lead authority on behavioral health clinical guidelines, regulatory requirements, documentation standards, and audit methodology. This role provides expert-level guidance to audit teams,
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
About the EXL Insurance Premium Audit Group: A leader in the field, EXL can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform
Base salary ranges: $190k - $235k Total compensation includes base salary, sales rewards & commission plan, and RSUs Location - This is a fully remote role. Applicants must be based in the mainland U.S with travel
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 random
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
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
The Manager of Operations ensures client savings and internal revenue are achieved. The Manager of Operations is responsible for planning, coordinating, and directing the activities of the audit program, ensuring staff is well trained, knowledgeable, responsive,
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
We are seeking a highly motivated and experienced Training Manager to lead and evolve training and development activities across Payment Integrity clinical and coding audits. The ideal candidate will bring strong people leadership capability, a proven
Role: ;Analytics Consultant (Product Development) ;Job Location: Hybrid ;Work Hours: 1:00PM IST – 10:30 PM IST ;Experience: 1-5 years ; ;We are small, fast and focused team working on shipping products that matter. We are currently
Why You’ll Love This Role: Work From Anywhere: Enjoy the flexibility of remote work while contributing to a fast-paced, collaborative team. Provider Advocate: Be the trusted liaison for providers, helping them navigate processes, resolve issues, and