• Conduct Good Clinical Practice (GCP) audits (planning, agenda, physical or remote audit, and report writing). • Evaluate investigator sites, CROs, and vendor compliance or qualification. • Prepare comprehensive audit reports detailing findings and root-causes. • Provide written audit reports in English. • If required will provide corrective actions support and present findings to QA leadership and stakeholders. • Work collaboratively with clients to ensure quality standards.

• Review medical records to verify services were provided as billed for Hospital Bill Audit reviews. • Identify overcharges, undercharges and unbundled items. • Identify unbundled items on the itemized bill specific to payer Unbundling Guidelines and provide references and rationale to support review findings. • Onsite Travel – Maintain timely communication with Audit Coordinator regarding scheduling, completion and submission of audits. Abide by the EXL Travel policy while making travel arrangements for onsite audits. • Scheduling Audits: Manage inventory and schedule audits timely by contacting the provider to schedule date and time to perform audits. • Report any problems in the audit process to Manager for resolution. • Comply with HIPAA and other regulations regarding the confidentiality of patient information. • Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs.

Role Description The Nurse Auditor conducts hospital charge audits on claims paid at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record. Charge audits identify overcharges, undercharges, and unbundled items per carrier contract, industry standards, and payer reimbursement policies. - Itemized Bill Review knowledge is required with regard to Unbundling Guidelines specific to payer policy, industry standards, and Medicare Guidelines. - The nurse will also be responsible for independent scheduling requiring flexibility and possible travel to provider location. - The position requires strong clinical experience and technical skills. Salary range: $70,000 - $90,000 - 0-10% travel may be required. For more information on benefits and what we offer please visit us at EXL Careers and Benefits . The posted range is the hiring range for this role and reflects base salary across our national hiring scale. Final offers are based on several factors, including: - Candidate's skills and experience - Internal pay equity - Work location - Market conditions for the role - 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 - Strong clinical experience - Technical skills - Knowledge of Itemized Bill Review - Understanding of Unbundling Guidelines Requirements - Flexibility in scheduling - Possible travel to provider locations Benefits - Comprehensive benefits package (details on the website) 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. - 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. - Specializes in industries including insurance, healthcare, banking and financial services, media, and retail. For more information, visit www.exlservice.com .

Role Description In this fully remote position as an HCD Auditor, you will apply your expert knowledge of billing HCD claims to perform extensive audit reviews. You will: - Utilize HCPCS codes, medical record review, industry, and EXL proprietary tools in the audit process. - Write professional communications documenting audit findings and supporting rationales. - Apply your extensive industry knowledge to identify audit trends and opportunities. Salary range: $55,000.00 - $70,000.00 0-10% travel may be required. 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 - Unlock growth with speed Founded in 1999, EXL has core values of: - Innovation - Collaboration - Excellence - Integrity - Respect We are headquartered in New York and have 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 and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. 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. Clients choose EXL as their transformation partner for many reasons: - Geographic diversity makes talent all over the world instantly accessible. - Digital accelerators enable unmatched speed-to-value, letting you realize results fast. - Our people, including 1,500 data scientists dedicated to our generative AI practice, truly set us apart. - More than twenty years of experience in delivering business services. - Stellar client references and a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.