Outpatient Auditor Manager

ExlService Holdings, Inc.; Northern (KY); Hybrid; USD 105,000 - 115,000; Full time

Benefits offered by this job

Remote (US-based)

Up to 10% travel

Job summary

ExlService Holdings, Inc. is seeking a leader to directly manage auditors responsible for outpatient payment integrity reviews across outpatient facilities, ambulatory surgery, emergency department, observation, and professional claim audits.

The candidate should demonstrate strong leadership and analytical skills with expertise in CPT, HCPCS, NCCI edits, CMS outpatient reimbursement methodologies, and payer-specific billing requirements.

Job description

The role directly manages auditors responsible for outpatient payment integrity reviews, including outpatient facility, ambulatory surgery, emergency department, observation, and professional claim audits. The ideal candidate demonstrates strong leadership and analytical skills, along with expertise in CPT, HCPCS, NCCI edits, CMS outpatient reimbursement methodologies, and payer-specific billing requirements.

Salary Range: $105,000 - $115,000 (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.

For more information on benefits and what we offer please visit us at US Careers and Benefits