Senior SNF Auditor - Remote, Coding & Compliance

ExlService Holdings, Inc.; United States; Remote; USD 60,000 - 99,000; Full time

Job summary

ExlService Holdings, Inc. is seeking a fully remote Skilled Nursing Facility auditor.

You will apply extensive clinical knowledge to validate billed charges, perform coding validation, assess payment accuracy, and ensure compliance with regulatory requirements. You will document audit findings with professional communications, using EXL proprietary tools, and contribute to trend analysis to identify opportunities for improvement.

Qualifications

• Extensive clinical knowledge for SNF audits.
• Experience validating billed charges and coding accuracy.
• Ability to document audit findings clearly and professionally.
• Willingness to travel up to 10% for team meetings and client engagements.

Responsibilities

• Validate billed charges for SNF audits using coding rules and payer requirements.
• Assess payment accuracy and contractual obligations while ensuring regulatory compliance.
• Prepare clear audit findings, rationales, and recommendations for clients and internal teams.
• Utilize EXL tools to review claims and identify audit trends and improvement opportunities.

Skills

Clinical auditing

Claims auditing

Regulatory compliance

Communication skills

Tools

Proprietary tools

Job description

ExlService Holdings, Inc. is seeking a fully remote Skilled Nursing Facility auditor.

You will apply extensive clinical knowledge to validate billed charges, perform coding validation, assess payment accuracy, and ensure compliance with regulatory requirements. You will document audit findings with professional communications, using EXL proprietary tools, and contribute to trend analysis to identify opportunities for improvement.