Remote Outpatient Facility Auditor - APC Reimbursement Expert

EXL Talent Acquisition Team; United States; À distance; USD 70 000 - 90 000; Plein temps

Avantages offerts par ce poste

Remote work

Travel up to 10%

Résumé du poste

EXL Health is seeking an experienced Outpatient Facility Auditor to join a remote team focused on facility-based outpatient claims and APC reimbursement. The role emphasizes CPT/HCPCS coding, APC payment methodologies, and CMS OPPS compliance for infusion services, outpatient surgeries, and interventional radiology.

The position offers 100% remote work in the United States with travel up to 10% for team meetings and limited client onsite engagements.

Qualifications

• Experience auditing hospital outpatient facility claims.
• In-depth knowledge of APC payment methods.
• Familiarity with CMS OPPS compliance.

Responsabilités

• Audit facility UB-04 claims for correct APC assignment.
• Validate proper packaging and compliant facility billing.
• Support remote audit team with accurate documentation.

Connaissances

CPT/HCPCS coding

APC reimbursement

OPPS guidelines

UB-04 claims

data analysis

Description du poste

EXL Health is seeking an experienced Outpatient Facility Auditor to join a remote team focused on facility-based outpatient claims and APC reimbursement. The role emphasizes CPT/HCPCS coding, APC payment methodologies, and CMS OPPS compliance for infusion services, outpatient surgeries, and interventional radiology.

The position offers 100% remote work in the United States with travel up to 10% for team meetings and limited client onsite engagements.