EXL Service

Quality Analyst - Outpatient, Healthcare

EXL Service$85K — $92K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • High School Diploma; CCS or CPC certification required
  • At least 5 years of coding experience in professional and hospital settings
  • Deep knowledge of ICD-10, HCPCS/CPT, Medicare OPPS, and APCs
  • Skilled with encoder tools (Optum, TrueCode, 3M, Webstrat)
  • Familiarity with Medicare LCD and NCD guidelines
  • Ability to code complex outpatient services
  • Strong documentation skills with knowledge of coding guidelines

Responsibilities

  • Review coding audits for accuracy and compliance
  • Coach and support coders to enhance their skills
  • Provide feedback and identify training needs from audits
  • Contribute to the improvement of auditing methods and documentation
  • Collaborate with peers and leadership for quality enhancements
  • Conduct root cause analysis on coding discrepancies
  • Ensure compliance with company and regulatory standards

Benefits

  • Fast-paced, innovative work environment
  • Remote work flexibility
  • Growth opportunities through a structured coaching program
  • Collaborative culture that values input
  • Real opportunities for career advancement
Full Job Description
JOB DESCRIPTION

Are you passionate about accuracy in medical coding and ready to make a real impact in healthcare quality? EXL Health is looking for an experienced Outpatient Quality Analyst – QC Coder to join our remote team! If you’re a detail-oriented coding professional who thrives on mentoring others and making process improvements, this is the role for you.

A brief coding/auditing assessment may be included as part of the interview process

Salary Range: $85,000 – $92,000 (based on experience, skills, and qualifications)
Location: 100% Remote (U.S.-based)


JOB RESPONSIBILITIES

What You’ll Be Doing:

  • 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.

JOB QUALIFICATIONS

What You’ll Bring:

  • 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
  • Ability to code complex outpatient services (e.g., interventional radiology, ambulatory surgery, ER, observation)
  • Expertise in applying modifiers and following Medicare/NCCI rules
  • Strong documentation skills with the ability to reference official coding guidelines
  • Excellent communication, organization, and problem-solving abilities
  • Comfortable working independently or as part of a team
  • Tech-savvy with Microsoft Office (Excel, PowerPoint, Outlook, Word)

What We Offer You:

  • A fast-paced, innovative environment with a team of sharp, driven professionals
  • Remote work flexibility and a chance to impact healthcare delivery nationwide
  • Opportunities for growth and mentorship through our structured coaching program
  • A collaborative culture where your ideas and insights are valued
  • Real opportunities for advancement—your future here is what you make it!

At EXL Health, you’ll not only do meaningful work—you’ll grow your career, expand your skills, and be part of a team that values your contribution.

Ready to take your coding career to the next level? Apply today and help us deliver excellence in every audit!

About EXL Service

EXL Service is a leading operations management and analytics company that helps businesses enhance growth and profitability. The company provides services in areas such as finance and accounting, customer service, and healthcare. EXL Service was founded in 1999 and is headquartered in New York, New York.
Learn more about EXL Service
Size
31,000 employees
Industry

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