Outpatient Auditor II
EXL · Remote (United States)
Posted January 21, 1970
AI Summary
EXL Health is hiring a remote Outpatient Auditor II to review hospital outpatient claims across specialties such as infusion services, complex surgeries, and interventional radiology. The role involves validating CPT codes, identifying billing discrepancies, and ensuring compliance with outpatient regulatory guidelines and APC reimbursement rules. It is a good fit for certified coding professionals who enjoy detail-oriented claims work.
Job Description
Are you a skilled Outpatient Auditor with deep expertise in infusion services, complex surgeries, interventional radiology, and hospital-based outpatient care? Do you bring a strong commitment to coding accuracy, regulatory compliance, and appropriate reimbursement? If so, EXL Health is excited to welcome you to our remote auditing team!
As a Remote Certified Outpatient Auditor, you’ll apply your in‑depth knowledge of CPT coding, outpatient regulatory guidelines, and APC reimbursement to review outpatient claims across a variety of clinical specialties. Your work will support providers, payers, and patients by validating billed CPT codes, identifying discrepancies, and ensuring adherence to industry standards.
This role is fully remote, with up to 10% annual travel for team meetings and occasional client onsite engagements.
Originally posted on Himalayas
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