Remote Outpatient Auditor II: CPT & Compliance Expert

ExlService Holdings, Inc.; United States; Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Fully remote

Up to 10% travel annually

Job summary

EXL Health is seeking a Remote Certified Outpatient Auditor to review outpatient claims, validate CPT codes, and ensure alignment with regulatory guidelines. This role supports providers, payers, and patients by upholding accurate reimbursements.

The position is fully remote with up to 10% annual travel for team meetings and occasional client onsite engagements, offering flexibility and opportunity across diverse clinical specialties.

Qualifications

• Deep expertise in CPT coding for outpatient services.
• Knowledge of APC reimbursement and outpatient regulatory guidelines.
• Experience auditing outpatient claims and identifying discrepancies.

Responsibilities

• Review outpatient claims for accuracy and compliance.
• Identify discrepancies and ensure adherence to CPT and APC guidelines.
• Collaborate with providers, payers, and clients to resolve issues.

Skills

CPT coding knowledge

Regulatory compliance

Auditing experience

Job description

EXL Health is seeking a Remote Certified Outpatient Auditor to review outpatient claims, validate CPT codes, and ensure alignment with regulatory guidelines. This role supports providers, payers, and patients by upholding accurate reimbursements.

The position is fully remote with up to 10% annual travel for team meetings and occasional client onsite engagements, offering flexibility and opportunity across diverse clinical specialties.