Outpatient Auditor III, Healthcare

EXL Talent Acquisition Team
98d

About The Position

As a Remote Certified Outpatient Auditor, you’ll bring your expert knowledge of outpatient coding, CPT coding guidelines, and reimbursement methodologies to audit outpatient and professional fee medical records. Your work will directly contribute to validating or revising the provider’s billed CPT codes and ensuring claims are accurate, fair, and compliant. This role offers a fully remote work experience with possible 10% travel per year. The rest of the time, you'll enjoy the flexibility of working from your home office.

Requirements

  • Expert knowledge of outpatient coding.
  • Familiarity with CPT coding guidelines.
  • Understanding of reimbursement methodologies.

Responsibilities

  • Audit outpatient and professional fee medical records.
  • Validate or revise the provider’s billed CPT codes.
  • Ensure claims are accurate, fair, and compliant.
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