Remote Outpatient Audit Leader - Payment Integrity

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

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.