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EXL

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Quality Analyst – Outpatient, Healthcare

AnalystAnalystFull TimeRemoteSeniorTeam 10,001+H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

$85K - $92K / year

Seniority

Senior

High School5 yrs expEnglish

Job Description

Quality Analyst – Outpatient, Healthcare

EXL

• Review coding audits to ensure findings are accurate, consistent, and compliant. • Provide coaching and support to coders to enhance accuracy and confidence. • Deliver feedback from audit reviews and identify training needs or process gaps. • Contribute to improving audit methods, processes, and documentation. • Collaborate closely with peers and leadership to drive quality improvements. • Provide insightful root cause analyses for coding discrepancies. • Support compliance with company and regulatory standards. • Take on additional tasks and challenges as needed in a dynamic environment.

Job Requirements

  • High School Diploma (required); CCS or CPC certification (required)
  • At least 5 years of coding experience across both professional and hospital settings
  • Deep knowledge of ICD-10, HCPCS/CPT, Medicare OPPS, and APCs
  • Skilled in using encoder tools (Optum, TrueCode, 3M, Webstrat)
  • Familiar with Medicare LCD and NCD guidelines
  • Ability to code complex outpatient services (e.g., interventional radiology, ambulatory surgery, ER, observation)
  • Expertise in applying modifiers and following Medicare/NCCI rules
  • Strong documentation skills with the ability to reference official coding guidelines
  • Excellent communication, organization, and problem-solving abilities
  • Comfortable working independently or as part of a team
  • Tech-savvy with Microsoft Office (Excel, PowerPoint, Outlook, Word)

Benefits

  • A fast-paced, innovative environment with a team of sharp, driven professionals
  • Remote work flexibility and a chance to impact healthcare delivery nationwide
  • Opportunities for growth and mentorship through our structured coaching program
  • A collaborative culture where your ideas and insights are valued
  • Real opportunities for advancement—your future here is what you make it!

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