Role Description Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team! 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. Why EXL? - Fostering an environment where employees can learn, grow, and succeed. - Providing industry-leading training and career development opportunities. - Offering a competitive benefits package to focus on delivering excellence in DRG auditing. - Opportunity to make a real impact while maintaining work-life balance. 💰 Salary Range: $70,000 – $110,000 (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 - Experience in DRG auditing. - Strong analytical skills. - Ability to work independently in a remote environment. Requirements - Proven track record in DRG auditing. - Excellent communication skills. - Detail-oriented with strong organizational skills. Benefits - Competitive salary and benefits package. - Flexible work-from-home options. - Career development and training opportunities.

Role Description Are you an experienced Outpatient Facility Auditor with strong APC reimbursement expertise in hospital-based outpatient services? Do you enjoy analyzing APC groupings, status indicators, payment logic, and CMS OPPS compliance across infusion services, outpatient surgeries, and interventional radiology? EXL Health is seeking a highly skilled auditor to join our growing remote outpatient auditing team, where your work will focus exclusively on facility‑based outpatient claims and APC reimbursement. This role is ideal for auditors who specialize in hospital outpatient facility coding and reimbursement. As a Remote Certified Outpatient Facility Auditor, you will apply your in‑depth knowledge of: - CPT/HCPCS coding - APC payment methodologies - Outpatient regulatory guidelines to audit UB‑04 facility claims only, ensuring accurate APC assignment, proper packaging, and compliant facility billing. 💰 Salary Range: $70,000 – $90,000 (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. The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including: - The candidate's skills and experience - Internal pay equity - Work location - Market conditions for the role - The specific scope and responsibilities of the position The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. Qualifications - Experience in outpatient facility auditing - Strong knowledge of APC reimbursement - Expertise in hospital outpatient facility coding Requirements - In-depth knowledge of CPT/HCPCS coding - Understanding of APC payment methodologies - Familiarity with outpatient regulatory guidelines - Ability to audit UB-04 facility claims Benefits - Remote work flexibility - Competitive salary range - Annual travel opportunities

• Conduct virtual audits of selected commercial lines policies by reviewing the customer’s business operations, including examining, verifying, and recording pertinent classification-related data from financial business records. • Ensure quality of the audit through proper risk classification and exposure basis identification. • Utilize laptop computer to record audit information provided by the Premium Audit Service Representative and to transmit completed audits in a timely manner. • Discuss issues and problems with insureds to ensure understanding of the change in premium and to maintain good customer relations. • Provide external customers (i.e., agents and insured’s) and internal customers (i.e., underwriting, claims, and accounting) with information to assist in their understanding of audit-related matters, including audit statements, procedures, and worksheets. • Remain informed of changes and current information relative to premium auditing through discussions with industry experts and review of industry related literature. • Exhibit excellent time management skills and can work from a home office with minimal direct supervision. • Conduct business in a professional manner to conserve and protect the corporate assets of Builders Mutual. • Work on special projects and assignments as required, in addition to regularly scheduled work. • Share information and experiences with less experienced virtual premium auditors.

• Provide a broad range of fully integrated audit services for our global clients. • Demostrate depth of knowledge of methodology, relevant standards, and systems. • Facilitate fieldwork, coordinating deliverables from multiple team members. • Proactively address client concerns, and escalate issues as they arise. • Lead the team through the engagement and prepares financial statements, related disclosures, and reportable conditions letters, focusing on quality and accuracy.