Home Health - Auditor III

EXL Health; United States; Remote; USD 70,000 - 80,000; Full time

Job summary

An innovative firm is seeking a Home Health Auditor III to join their remote team. In this pivotal role, you will utilize your clinical expertise to audit medical records, ensuring compliance with CMS guidelines and identifying opportunities for improvement. This position offers a competitive salary and a supportive work environment focused on collaboration and professional growth. If you're passionate about healthcare and eager to make a real impact, this opportunity is perfect for you!

Benefits

Medical insurance

Vision insurance

Dental insurance

401(k) options

Paid maternity leave

Paid paternity leave

Mentorship programs

Career development programs

Qualifications

• 3+ years of acute care nursing experience required.
• Experience in Home Health auditing is essential.
• Strong knowledge of PDGM and PPS methodologies.

Responsibilities

• Audit Home Health medical records for accuracy and compliance.
• Document findings using OASIS and CMS guidelines.
• Identify trends to improve healthcare outcomes.

Skills

OASIS

ICD-10 CM

CMS guidelines

Decision Health

Webstrat

Microsoft Office

Auditing

Coding

Education

Associate’s or Bachelor’s degree in Nursing

Tools

Decision Health

Webstrat

Microsoft Excel

Microsoft Word

Microsoft OneNote

Job description

Join to apply for the Home Health - Auditor III role at EXL Health

Join to apply for the Home Health - Auditor III role at EXL Health

This range is provided by EXL Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$70,000.00/yr - $80,000.00/yr

Direct message the job poster from EXL Health

Talent Acquisition Recruiting and HR Assistant at EXL Health

Join EXL as an Auditor III – Home Health (Remote)

Bring your clinical expertise to a role where your insights truly make a difference.

Are you a skilled clinician with a passion for accuracy, compliance, and making a real impact in healthcare? EXL is looking for a Home Health Auditor III to join our team — and we’re offering a 100% remote, work-from-home opportunity!

At EXL, we blend cutting-edge technology with expert clinical knowledge to improve outcomes for our clients and their patients. As a Home Health Auditor III, you'll play a key role in ensuring proper documentation and accurate billing, leveraging your experience and analytical mind to review medical records and identify patterns, trends, and opportunities for improvement.

What You’ll Do:

• Audit Home Health medical records to validate or revise billed services based on CMS guidelines.
• Apply clinical judgment and coding expertise to identify overpayments and ensure proper reimbursement.
• Document audit findings with clarity, professionalism, and precision using OASIS, ICD-10 CM, and CMS Home Health guidelines.
• Utilize industry-leading tools like Decision Health, Webstrat, and proprietary EXL platforms to complete your work efficiently.
• Identify audit trends and help drive improvements that benefit both providers and patients.
• Stay current on the latest clinical and reimbursement guidelines and deliver work that meets or exceeds productivity and quality benchmarks.

What We’re Looking For:

• LPN or Registered Nurse(Associate’s or Bachelor’s degree preferred).
• 3+ years of acute care nursing experience, with strong consideration for candidates holding OASIS or Coding certifications.
• Prior experience in Home Health auditing is essential.
• Deep knowledge of PDGM and PPS payment methodologies.
• Proficiency in auditing and coding tools (Decision Health, ICD-10, Webstrat).
• Strong command of Microsoft Office, including Excel, Word, and OneNote.
• Exceptional time management, attention to detail, and independent work ethic.
• Clear and confident communicator – both in writing and verbally.
• Passion for improving healthcare through teamwork, collaboration, and continuous learning.

What We Offer:

A fast-paced, innovative environment with a team of industry-leading experts.

Hands-on experience with top-tier clients in the healthcare industry.

Mentorship and career development programs to help you grow professionally.

A strong culture of collaboration, support, and inclusivity.

Competitive benefits package, including healthcare, vision, dental, and 401(k) options.

Ready to Take Your Career to the Next Level?

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at EXL Health by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

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