Quality Analyst IV - Outpatient, Healthcare (AH)

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August 6

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EXL

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Choosing a digital partner is about more than capabilities — it’s about collaboration and character.

10,000+ employees

💰 $2M Venture Round on 2015-01

📋 Description

•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.

🎯 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

🏖️ Benefits

•Why This Role Rocks: •As a Quality Analyst IV, you’ll be the quality gatekeeper of our outpatient coding audits—ensuring every audit meets EXL’s gold standard for accuracy. •You’ll validate coded data against medical documentation, lead quality reviews, and provide expert feedback to elevate performance across the team. •Your expertise will help shape training and drive continuous improvement in how we work.