Jobs at EXL

Perform IP DRG coding audits to meet quality and production targets. Follow SOPs and project protocols, update productivity and clarification logs, escalate issues and trends, ensure HIPAA/OIG compliance, and communicate promptly with managers. Use Microsoft Office, 3M software, and NLP tools for audit tasks.

Perform IP DRG coding audits to meet quality and production targets; follow SOPs and project protocols; update productivity and clarification logs; escalate issues; ensure team compliance with HIPAA and OIG; use 3M/NLP tools and Microsoft Office; communicate promptly with managers.

Perform high-quality audits of outpatient surgery coding to meet quality and production targets; follow SOPs and project protocols; update productivity and clarification logs daily; escalate issues and identify trends; ensure team compliance with HIPAA and OIG; respond promptly to manager communications; apply CPC/CPMA-certified coding expertise and strong communication and problem-solving skills.

Perform high-volume outbound calls to US insurance companies, providers, and TPAs to follow up on pending or denied claims, resolve denials and payment discrepancies, document interactions, meet productivity and quality targets, ensure HIPAA/OIG compliance, and communicate status to management.

Perform high-quality audits of outpatient surgery coding, follow SOPs and project protocols, meet quality and production targets, maintain daily logs, escalate trends/issues, ensure team compliance with HIPAA/OIG, and communicate promptly with managers.

Perform quality audits of multi-specialty outpatient surgery and E&M coding (ED Facility, IP EM), follow SOPs, meet quality and production targets, maintain logs, escalate issues, ensure HIPAA/OIG compliance, and communicate with managers.

Audit and accurately code E&M cases (ED Facility and Inpatient EM), meet productivity standards, participate in coding education, drive continuous improvement, and communicate with onshore teams. Maintain active AAPC/AHIMA certification and at least three years of relevant post-certification experience.

Perform and complete medical coding audits for outpatient surgery, following SOPs and project protocols. Achieve quality and production targets, update daily productivity and clarification logs, escalate and identify trends, ensure team HIPAA and OIG compliance, respond promptly to management communications, and apply problem-solving to audit and denial management tasks.

Handle US healthcare accounts receivable calling insurance companies to resolve claims, verify insurance details, post cash and adjustments, meet daily productivity targets, follow HIPAA/confidentiality rules, escalate difficult cases, and respond to patient billing queries during assigned night shift.

Perform high-quality audits of outpatient surgery and multi-specialty surgery coding, follow SOPs and project protocols, meet quality and productivity targets, maintain logs, escalate issues, ensure HIPAA/OIG compliance, and communicate with managers and team members.

Perform high-quality outpatient surgery coding audits per SOPs to meet quality and production targets. Log productivity, escalate issues and trends, ensure team HIPAA/OIG compliance, communicate with managers, and support auditing/denial management as needed.

Perform accurate CPT and ICD-10-CM coding (including modifiers, E&M, surgical coding); review and analyze denied claims, identify root causes, and resolve via outbound calls to provider offices. Document outcomes, update claim status, follow up to maximize reimbursement, adhere to client guidelines, meet quality/productivity benchmarks, and prepare performance reports using Excel and PowerPoint.

Perform quality-focused audits of medical coding for outpatient surgery and multi-specialty procedures. Ensure SOP adherence, meet quality and production targets, maintain logs, escalate issues, ensure team compliance with HIPAA/OIG, and communicate with managers promptly.

Lead design, development, and production deployment of generative AI and LLM-based solutions. Build and optimize ML pipelines, fine-tune and evaluate models, manage infrastructure on Azure/GCP and Linux, ensure secure handling of PII/PHI, and collaborate across teams to integrate AI into enterprise applications.

Manager role at EXL partnering with clients to deliver data-led analytics, generative AI, and digital transformation solutions; likely involves leading teams, coordinating projects, and embedding analytics into client workflows to drive value.

Conduct in-depth inpatient medical record audits to validate ICD-10-CM/PCS codes, DRG assignments, and IPPS/CMS compliance. Identify documentation gaps, collaborate with clinical teams, mentor coding staff, deliver education to coders and CDI specialists, perform routine quality audits, analyze findings, and participate in cross-functional initiatives to improve coding accuracy and compliance.

Senior full-stack developer responsible for designing, developing, testing, deploying and maintaining scalable enterprise applications. Participate in architecture and data modeling, implement secure authentication/authorization, mentor juniors, collaborate with product and stakeholders, and support Agile delivery.

Seeking an experienced E&M CPT coder to audit ED Facility and IP EM cases. Must exceed productivity norms, pursue continuous improvement, participate in coding meetings, maintain active AAPC/AHIMA certification, and have strong analytical, anatomical, and communication skills. Minimum 3 years' relevant experience post-certification.

Perform and complete IP DRG coding audits per SOP, meet quality and production targets, follow project protocols, escalate issues, maintain daily productivity and clarification logs, ensure HIPAA/OIG compliance, and communicate promptly with managers. Use 3M/NLP tools and Microsoft Office applications.

Perform high-quality audits of outpatient surgery coding, follow SOPs and project protocols, meet quality and production targets, update daily logs, escalate trends/issues, ensure team compliance with HIPAA/OIG, and communicate promptly with managers. Requires CPC/CPMA certification and 3+ years coding experience.