Outpatient Auditor III

EXL Talent Acquisition Team
76d

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 exciting opportunity allows you to work from home, with occasional travel, and be a key player in driving excellence in the healthcare coding industry!

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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