High Cost Drug Auditor III
EXL•United States,
•$55,000 - $70,000•Remote
About The Position
In this fully remote position as an HCD Auditor you will apply your expert knowledge of billing HCD claims to perform extensive audit reviews. You will utilize HCPCS codes, medical record review, industry and EXL proprietary tools in the audit process. Write professional communications documenting audit findings and supporting rationales. You will also apply your extensive industry knowledge to identify audit trends and opportunities.
Requirements
- Expert knowledge of billing High Cost Drug (HCD) claims.
- Proficiency in utilizing HCPCS codes and medical record review.
- Familiarity with industry and EXL proprietary audit tools.
- Ability to write professional communications documenting audit findings and rationales.
- Extensive industry knowledge to identify audit trends and opportunities.
Responsibilities
- Perform extensive audit reviews of High Cost Drug (HCD) claims.
- Utilize HCPCS codes, medical record review, and industry/proprietary tools in the audit process.
- Write professional communications documenting audit findings and supporting rationales.
- Identify audit trends and opportunities based on industry knowledge.
Benefits
- For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
