Role Description The Senior Outpatient Coding Auditor & Provider Education Specialist serves as a key liaison between EXL’s healthcare payer clients and those providers selected into the EXL education program by delivering clear, accurate, and constructive guidance on coding practices. This role is also responsible for conducting comprehensive audits of outpatient services to ensure compliance with coding, billing, and reimbursement guidelines. The ideal candidate combines deep technical expertise with strong interpersonal skills to effectively educate providers, address concerns, and foster collaborative relationships. - 💰 Salary Range: $90,000 – $100,000 (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 Qualifications - Deep technical expertise in outpatient coding and auditing - Strong interpersonal skills for effective provider education - Ability to address concerns and foster collaborative relationships Requirements - Experience in coding practices and compliance - Ability to conduct comprehensive audits of outpatient services Benefits - For more information on benefits and what we offer please visit us at EXL Careers and Benefits Company Description EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. - Founded in 1999 with core values of innovation, collaboration, excellence, integrity, and respect - Headquartered in New York with more than 54,000 employees spanning six continents - EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process - EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers

• Ensure audits are performed in a consistent, impartial, and objective manner across all certified IDR entities. • Supervise project audit teams, including assignment of work, mentoring, and review of junior auditors’ output. • Manage and execute completion of assigned tasks within established timelines for standard and expedited audits. • Provide quality control over audit workpapers, evidence, findings, and recommendations to ensure each audit is well-documented and defensible. • Review the project team’s audit work, including documentation supporting eligibility and payment determination findings, and the rationale documented in draft audit reports. • Provide technical assistance to CMS and project staff on audit methodology, including statistically representative sampling design, treatment of single vs. batched disputes, handling of reopened determinations, and assessment of clerical, procedural, or jurisdictional errors. • Review audit reports and other deliverables and interact with the client on program and technical issues, including the Audit Strategy, individual audit reports, and the Preliminary and Final Annual Audit Reports. • Apply knowledge of Generally Accepted Accounting Principles (GAAP), Government Auditing Standards (GAS), and applicable Federal regulations — including guidelines, standards, and concepts — and other relevant industry practices to each engagement. • Assess certified IDR entity compliance with eligibility determination requirements (including batching, State All-Payer Model Agreements, and specified State law applicability), payment determination procedures, recordkeeping, and reporting timeframes. • Identify recurring issues, emerging trends, and “red flags” for escalation; support calculation of financial impact (e.g., collected but unremitted administrative fees) where applicable. • Safeguard sensitive healthcare information and ensure audit execution complies with the No Surprises Act, 45 CFR 149.510, and all contract security and privacy requirements.

Title: Advice Nurse, Mental Health Work From Home Location: West Valley City United States Job Description: We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: The Virtual Behavioral Health Transfer Center RN is a Registered Nurse who provides competent and thorough intake services by conducting initial screening of psychiatric and medical needs of all incoming referrals for psychiatric and chemical dependency admissions. Utilizes virtual assessment skills through phone triage and patient assessments including triaging patients in acute crisis and disposition to correct level of care. Job Description: DISCLAIMER: You must be a resident of one of the following states to be eligible for consideration for this position: Utah, Idaho, Arizona, Montana. EDUCATION - Graduate of an accredited school of nursing CERTIFICATION & LICENSURE - RN-Registered Nurse of California (will need to obtain prior to date of hire) - RN-Registered Nurse in State of Residence PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN - 1 year of mental health - 2 years of practical nursing in a hospital, clinic, urgent care, or emergency room/department. SKILLS AND KNOWLEDGE - Professional knowledge of clinical nursing protocols, regulations and institutional standards of care and risk management with an emphasis in the areas of disease processes, emergencies, health sciences and pharmacology. - Advanced clinical knowledge of medical diagnoses, procedures, protocols, treatments, and terminology, including a working knowledge of state and federal regulations and guidelines. - Solid analytical and project management skills, including the ability to analyze problems, situations, practices, and procedures, reach practical conclusions, recognize alternatives, provide solutions, and institute effective changes. - Communication, interpersonal, and interviewing skills, including the ability to build rapport and explain medical lab results or sensitive information clearly and professionally to diverse audiences (patients, staff, and doctors). - Proficient computer skills, including Microsoft Office Suite and experience working electronic medical/health records. - Work independently, as well as part of a multidisciplinary team, while demonstrating exceptional attention to detail and organizational skills. - Manage multiple priorities/projects simultaneously, sometimes with rapidly changing priorities, while maintaining event/project schedules. - Recognize unsafe or emergency situations and respond appropriately and professionally. - Ensure the privacy of each patient's protected health information (phi). - Analyze possible solutions using precedents, existing departmental guidelines and policies, experience and good judgment to identify and solve standard problems. Build collaborative relationships with peers, physicians, nurses, administrators, and public to provide the highest quality of patient care. Job Shift: Nights Schedule: Full Time Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 36 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $37.19 to $48.71 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Title: Physician Compliance Auditor II Location Remote, United States Category Shared Services Job Type Full Time Job Id26008035 Job Description: About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: - We serve faithfully by doing what's right with a joyful heart. - We never settle by constantly striving for better. - We are in it together by supporting one another and those we serve. - We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary - The Physician Compliance Auditor II audits and evaluates compliance activities to ensure documentation meets standards. - Establishes audit scope, uses tools, compiles data, reports findings, and provides recommendations and training. - Audits may include documentation and coding accuracy for outpatient, inpatient, and emergency services using ICD-10, CPT, HCPCS, and other guidelines. - Coding across multiple services lines - E/M services - Surgical procedures - Diagnostic procedures - Multiple Specialities including: Cardiology, Orthopedics, Family Medicine, Internal Medicine Work Model & Salary 100% Remote The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. Essential Functions of the Role - Performs chart audits and formulates recommendations based upon the audit findings and communicates them to the appropriate personnel. - Implements coding reviews and creates work plans based on them. Ensures compliance issues and risks are identified and addressed. - Develops curriculum for educating providers and staff on medical record documentation guidelines. Educates on diagnostic and procedural coding conventions and methodologies. - Acts as a coding compliance and documentation resource and consultant for all providers, company administrators, and clinical staff. - Assists in developing policies and procedures on coding compliance for clinics and the compliance department. - Prepares and submits compliance reports to the compliance committee. - Cross-trains other Physician Compliance Auditors in their area(s) of expertise to provide more depth and flexibility to the department. Key Success Factors - Advanced knowledge of CPT, ICD-10, and HCPCS. - CHC, AHFI, or CFE certification preferred. - Maintains working knowledge of Federal, State, private payer, and other applicable legal and regulatory requirements for the compliance department. - Ability to research complex topics regarding compliance and coding efficiently and accurately. - Able to explain compliance concerns and resolutions clearly and concisely. Comfortable discussing them with all organization members. - Proficient in Word, Excel, and PowerPoint. - Four years auditing experience. Belonging Statement We believe that all people should feel welcomed, valued and supported. QUALIFICATIONS - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 4 Years of Experience - Auditing experience for Pro-Fee (providers) services with a focus on CPT as well as ICD-10-CM - Coding experience across multiple service lines - E/M services - Surgical procedures - Diagnostic procedures - Multiple Specialities including: Cardiology, Orthopedics, Family Medicine, Internal Medicine - CERTIFICATION/LICENSE/REGISTRATION - Active coding certification: CPC (Verified through AAPC) or CCS-P (Verified through AHIMA) required - Auditing experience for Pro-Fee (providers) services with a focus on CPT as well as ICD-10-CM Cert Coding Spec Physician Bas (CCS-P), Cert Professional Coder (CPC), Cert Prof Coder Physician (CPC-P): Must have one of the following: Cert Coding Spec Physician based (CCS-P), Cert Professional Coder (CPC), or Cert Prof Coder Physician (CPC-P).