Outpatient Auditor II

EXL • United States,

1d • $65,000 - $75,000 • Remote

About The Position

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.

Requirements

• Skilled Outpatient Auditor with deep expertise in infusion services, complex surgeries, interventional radiology, and hospital-based outpatient care.
• Strong commitment to coding accuracy, regulatory compliance, and appropriate reimbursement.
• In-depth knowledge of CPT coding.
• Knowledge of outpatient regulatory guidelines.
• Knowledge of APC reimbursement.

Responsibilities

• Apply in-depth knowledge of CPT coding, outpatient regulatory guidelines, and APC reimbursement to review outpatient claims.
• Validate billed CPT codes.
• Identify discrepancies in claims.
• Ensure adherence to industry standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed