Jobs at EXL

Audits and reviews emergency department facility and inpatient E&M coding cases, meeting productivity and accuracy standards. The role requires strong medical record analysis, anatomical knowledge, continuous skill development, active AAPC or AHIMA certification, and an active nursing license. It is a full-time remote position requiring adherence to telecommuter and data security policies.

Audits medical coding for E&M services, denials, surgeries, modifiers, and documentation compliance. Reviews medical records against CMS and payer guidelines, maintains reports, meets productivity and quality targets, communicates with stakeholders, and follows regulatory and information-security policies.

Provides production support for .NET applications and Microsoft SQL Server databases. Responsibilities include troubleshooting incidents, optimizing queries and application performance, deploying patches, supporting end users, documenting resolutions, conducting training, and implementing preventive measures. The role requires full-stack expertise across .NET, C#, ASP.NET, Web API, React, SQL, microservices, and distributed systems, with collaboration among development teams, stakeholders, and healthcare insurance clients.

Perform inpatient DRG coding audits, complete audits per SOP with quality and production targets, maintain productivity and clarification logs, escalate trends/issues, ensure HIPAA/OIG compliance, use Excel and 3M/NLP tools, and communicate promptly with managers/teams.

Audits outpatient and multispecialty surgery coding for accuracy, quality, productivity, and compliance with SOPs, project protocols, HIPAA, and OIG requirements. The role documents daily productivity and clarification logs, identifies trends, escalates issues, responds to management, supports problem solving, and helps ensure team compliance. It requires CPC or CPMA credentials, surgical coding experience, strong communication, computer skills, and reliable broadband internet for telecommuting.

Audits outpatient and multispecialty surgery coding for quality, productivity, and compliance. Follows SOPs and project protocols, maintains productivity and clarification logs, escalates issues, identifies trends, responds to management communications, and supports HIPAA and OIG compliance. The role requires accurate coding, issue resolution, strong communication, and adherence to telecommuter policies while meeting production targets.

Audit and validate outpatient surgery medical coding to ensure quality, production targets, SOP adherence, and HIPAA/OIG compliance. Complete audits, maintain productivity and clarification logs, escalate trends, and collaborate with managers. CPC/CPMA certification and 3+ years post-certification coding experience required.

Audits outpatient and multispecialty surgery coding for quality, compliance, and productivity targets. Follows SOPs and project protocols, maintains daily productivity and clarification logs, escalates issues, identifies trends, responds to management communications, and supports team compliance with HIPAA and OIG requirements. The role requires CPC or CPMA certification, at least three years of post-certification coding experience, strong communication, and reliable broadband for remote work.

Audits outpatient and multispecialty surgery coding for quality, productivity, compliance, and protocol adherence. Maintains productivity and clarification logs, identifies trends, escalates issues, responds to management, and supports team compliance with HIPAA and OIG requirements. The role requires CPC or CPMA certification, healthcare-related education, strong communication, computer skills, and at least three years of coding experience. APC facility coding, auditing, and denial management experience are advantageous.

Audits outpatient and multispecialty surgery coding for quality, compliance, and productivity. Follows SOPs and project protocols, updates productivity and clarification logs, resolves issues with managers, identifies trends, responds promptly to communications, and supports HIPAA and OIG compliance. The role requires CPC or CPMA certification, at least three years of post-certification coding experience, strong communication skills, and reliable home broadband for telecommuting.

Leads operational analytics strategy and client engagements, translating business objectives into dashboards, predictive and prescriptive models, and actionable insights. Manages analytics project roadmaps, modeling delivery, quality, stakeholder communication, and offshore team coordination. Partners with senior client leaders and cross-functional business and technology teams while guiding junior analytics consultants and ensuring analytical solutions align with business goals.

Reviews medical claims against patient records to validate diagnoses, procedures, documentation, and billed services. Identifies coding, billing, and documentation discrepancies; ensures compliance with CMS, payer, and regulatory requirements; prepares audit findings and recommendations; collaborates with coding, billing, and provider teams; monitors trends; supports quality assurance and process improvement; and maintains productivity, accuracy, and compliance standards.

Reviews medical claims against patient records to validate diagnoses, procedures, documentation, coding, and level of care. Identifies discrepancies, billing errors, compliance risks, and revenue leakage while ensuring adherence to CMS, payer, and regulatory requirements. Produces audit reports and corrective recommendations, collaborates with coding and provider teams, monitors recurring issues, supports quality assurance, and maintains productivity and accuracy standards. Requires a nursing degree, active state certification, and clinical experience.

Process and adjudicate U.S. healthcare claims, calculate allowable payments manually, identify underpayments and revenue opportunities, and support data mining initiatives. Maintain productivity, quality, reporting, compliance, HIPAA adherence, and turnaround-time standards. Communicate with stakeholders, resolve claim issues, work independently, and contribute to process improvements. The role requires claims adjudication expertise, strong healthcare knowledge, accurate documentation, and reliable participation in meetings and calls.

Conducts operational and healthcare analytics, prepares KPI reports, analyzes data, develops interactive visualizations, identifies efficiency improvements, and communicates actionable insights to stakeholders. Collaborates with analytics consultants, ensures data accuracy, supports healthcare analytics model optimization, and begins mentoring junior team members.

Audits outpatient and multispecialty surgery coding for accuracy, quality, productivity, and compliance. The role follows SOPs and project protocols, maintains productivity and clarification logs, identifies trends, escalates issues, responds to management, and supports HIPAA and OIG compliance. Candidates need CPC or CPMA certification, surgical coding experience, strong communication skills, computer proficiency, and reliable broadband for telecommuting.

Audits outpatient and multispecialty surgery coding for quality, accuracy, compliance, and production targets. Follows SOPs and project protocols, maintains productivity and clarification logs, escalates issues, identifies trends, responds to management communications, and supports team compliance with HIPAA and OIG requirements. The role requires CPC or CPMA certification, healthcare-related education, strong communication skills, computer proficiency, and at least three years of surgery coding experience.

Audits outpatient and multispecialty surgery coding for quality, productivity, and compliance. The role requires adherence to SOPs and project protocols, maintaining productivity and clarification logs, escalating issues, identifying trends, responding to management communications, and supporting HIPAA and OIG compliance. Candidates need CPC or CPMA certification, at least three years of post-certification coding experience, outpatient surgery expertise, strong communication skills, and reliable broadband for telecommuting.

Leads healthcare medical coding quality governance, auditing, analytics, corrective actions, client relationships, process transformation, and continuous improvement. Oversees quality frameworks, dashboards, benchmarking, compliance, team development, implementations, automation opportunities, and client-facing governance. Supports proposals and executive discussions while standardizing coding practices across specialties and engagements.

Perform in-depth reviews of inpatient medical records to ensure DRG and code accuracy and specificity, mentor and train coders, provide feedback and education, use 3M and NLP tools, maintain logs and meet quality/production targets, and ensure HIPAA/OIG compliance.