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
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,
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
Base salary ranges: $190k - $250k 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
Base salary ranges: $190k - $225k 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
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
The Provider Touch Specialist will be responsible for managing provider relations and service interactions within their assigned team. Acting as a key liaison, this individual will support external providers with audit inquiries, claims reimbursement progress, and
Summary The Director, Commercial Lines Operations leads the transformation and day‑to‑day execution of Commercial Lines underwriting operations, service operations, workflow management, and operational performance. This pivotal leadership role will modernize and scale the Commercial Lines operating
Are you passionate about accuracy in medical coding and ready to make a real impact in healthcare quality? EXL Health is looking for an experienced Outpatient Quality Analyst – QC Coder to join our remote team! If
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
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
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
he Business EXL’s Castle High Value and Risk Control divisions are the nation’s leading residential and commercial insurance survey providers. Castle High Value provides replacement cost estimating and loss prevention services on high value homes for personal
This is a remote office opportunity. The Training Coordinator will work closely with the Training Manager to successfully complete the full training cycle for employees (assess needs, plan, develop, coordinate, monitor and evaluate). The role also
The Business EXL’s Castle High Value and Risk Control divisions are the nation’s leading residential and commercial insurance survey providers. Castle High Value provides replacement cost estimating and loss prevention services on high value homes for personal