Outpatient Auditor Manager

EXL

Outpatient Audit Manager leading payment-integrity audits for EXL Health. Supervising auditors, ensuring coding compliance, and driving quality, productivity, and client SLA performance.

Posted 9/9/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $105,000 - $115,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in outpatient coding, auditing, and revenue cycle management, with a strong focus on compliance with CMS regulations and payer policies. Proven ability to lead teams, manage audit operations, and implement process improvements to enhance productivity and quality outcomes.

Highest-signal resume keywords

Outpatient Coding ExpertiseAudit Operations ManagementTeam Leadership and DevelopmentRegulatory Compliance KnowledgeData Analysis and Problem-Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Outpatient CodingAuditingPayment IntegrityRevenue Cycle ManagementCPT and HCPCS KnowledgeNCCI EditsAPC Reimbursement MethodologiesData AnalysisWorkflow ManagementQuality Review

Soft Skills

LeadershipCoachingCollaborationOrganizational SkillsTime Management

Tools & Technologies

Microsoft OfficeHealthcare Audit SystemsReporting Systems

Certifications & Qualifications

RHITRHIACCSCPCCOC

Industry Keywords

CMS RegulationsMedicare PoliciesMedicaid PoliciesCommercial Payer PoliciesOutpatient Billing Guidelines

About the role

Key responsibilities & impact

Lead the execution and continuous improvement of outpatient audit programs
Oversee day-to-day audit operations to meet client SLAs, quality standards, productivity goals, and turnaround requirements
Manage inventory, workflow distribution, aging, and throughput
Provide direct supervision, coaching, feedback, and development for outpatient auditors and team leads
Monitor productivity, quality, and turnaround metrics and implement corrective actions
Ensure audits comply with CMS regulations, NCCI guidelines, payer policies, and coding and billing requirements
Support implementation of new clients, audit opportunities, workflow changes, and system enhancements
Conduct quality reviews and identify trends requiring education, clarification, or process improvement
Develop and deliver training on outpatient coding, reimbursement, audit methodologies, and payer requirements
Identify operational risks, escalate issues, and support timely resolution
Prepare and present reports on productivity, quality, inventory, aging, and audit outcomes
Support client meetings, reporting requests, and audit strategy discussions
Assist with workforce planning, hiring, onboarding, performance management, and talent development

Requirements

What you’ll need

Bachelor's Degree
Five to eight years of experience in outpatient coding, auditing, payment integrity, revenue cycle, or healthcare reimbursement operations
RHIT, RHIA, CCS, CPC, COC, or equivalent coding credential preferred
Strong knowledge of CPT, HCPCS, revenue codes, modifier usage, NCCI edits, APC reimbursement methodologies, and outpatient billing guidelines
Knowledge of Medicare, Medicaid, and commercial payer policies
Prior experience leading teams or serving in a supervisory capacity within a production-driven environment
Experience supporting healthcare audit operations, payment integrity programs, or claims review functions
Strong analytical and problem-solving skills
Ability to interpret clinical documentation, coding guidelines, and reimbursement requirements
Proficiency with Microsoft Office applications and healthcare audit or reporting systems
Ability to manage audit workflows and team performance to meet operational targets
Ability to analyze data, identify risks and trends, and develop practical action plans
Strong leadership, coaching, and team development skills
Effective collaboration across clinical, coding, operational, client-facing, and technical teams
Ability to support process improvements, workflow enhancements, and program implementations
Strong organizational, prioritization, and time management skills
Ability to build relationships and maintain positive team and client interactions
Ability to complete a brief coding/auditing assessment as part of the interview process

Benefits

Comp & perks

Healthcare, vision, and dental benefits
401(k) options
Professional development
Collaboration, support, and inclusion culture
Up to 10% annual travel for team meetings and limited client onsite engagements
Fast-paced, innovative environment with industry-leading experts
Hands-on experience supporting leading healthcare clients