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Quality Analyst - Outpatient, Healthcare

Role overview

Summary

The Quality Analyst role focuses on overseeing the Outpatient audit program to maintain accuracy standards at EXL. You will validate coding accuracy and conduct quality reviews of audits, ensuring compliance with medical documentation.

Qualifications

  • Experience in coding and auditing in healthcare settings.
  • Knowledge of medical documentation standards.
  • Ability to perform quality reviews of audits.
  • Strong attention to detail.
  • Preferred: Familiarity with coding discrepancies and documentation processes.

Responsibilities

  • Oversee work performed by the Outpatient audit program
  • Validate the accuracy of the coding billed in relation to medical documentation
  • Determine discrepancies in coding and document findings
  • Undertake quality reviews of random and targeted coding audits

Key facts

Hard skills

About the company

EXL logo

EXL

  • Outsourcing & BPO
  • XLarge
  • 10,001+
Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.

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Job description

This is a remote opportunity. The Quality Analyst oversees work performed by the Outpatient audit program to ensure that EXL’s standard of accuracy is met. Audits are performed by validating the accuracy of the coding billed in relation to the medical documentation. The coding auditor determines if a discrepancy exists in the coding and documents the findings. The Quality Analyst undertakes a quality review of random and targeted coding audits to check the accuracy and completeness of audits performed. 

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)

For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits

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