The role directly manages auditors responsible for outpatient payment integrity reviews, including outpatient facility, ambulatory surgery, emergency department, observation, and professional claim audits. The ideal candidate demonstrates strong leadership and analytical skills, along with expertise in CPT, HCPCS, NCCI edits, CMS outpatient reimbursement methodologies, and payer-specific billing requirements.
Salary Range: $105,000 – $115,000(based on experience, skills, and qualifications) Location: 100% Remote (U.S.-based)
Up to 10% annual travel(for team meetings and limited client onsite engagements.)
A brief coding/auditing assessment may be included as part of the interview process.
For more information on benefits and what we offer please visit us at US Careers and Benefits
EXL is a global operations and business services company that provides consulting, advisory, analytics, and business process outsourcing (BPO) services to large enterprises across multiple industries. The company has significant expertise serving Banking & Financial Services (BFS) organizations, including banks, fintech companies, and credit unions. EXL works with clients on strategic initiatives including payment integrity audits, process optimization, and data-driven business intelligence. The company operates through a Global Client Services team focused on cultivating market presence and driving business development with new clients in key verticals.