EXL

Assistant Manager – Durable Medical Equipment Auditor II

EXL

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $50,000 - $65,000 per year

About the role

  • Review professional claims to verify HCPCS coding accuracy and appropriate reimbursement for Durable Medical Equipment (DME).
  • Apply industry knowledge and EXL’s proprietary tools to identify overpayments and audit trends.
  • Write clear, professional audit rationales based on AMA guidelines.
  • Navigate various client systems to reprice and process complex claims.
  • Interpret provider contracts and fee schedules to determine correct payment methods.
  • Maintain high standards for quality, productivity, and appeals uphold rate.
  • Stay updated on coding guidelines, CMS/OIG policies, and industry best practices.
  • Ensure compliance with HIPAA and all federal/state regulations.

Requirements

  • 3+ years of experience in claims processing, medical billing, or auditing—with a strong focus on Durable Medical Equipment (DME).
  • In-depth knowledge of HCPCS codes and reimbursement policies.
  • Proven ability to read and interpret contract language and fee schedules.
  • Preferably certified with RHIA, CPC, or similar credentials (multiple credentials are a plus).
  • Comfortable working independently in a remote environment.
  • Strong written and verbal communication, time management, and analytical skills.
  • Intermediate Excel and Word skills, with a solid grasp of basic math.
  • Bonus if you’ve used: FACETS, NASCO, Encoder Pro, TrueCode, 3M, Webstrat, Pricers.
Benefits
  • Team Support & Mentorship: You’ll work with industry experts who are excited to share knowledge and help you grow.
  • Career Development: Expand your skills and explore new career paths across the business.
  • Learning Opportunities: Stay sharp and informed with access to training, tools, and thought leadership.
  • Work-Life Flexibility: Enjoy the freedom of remote work with occasional travel to connect with your team and clients.
  • Meaningful Impact: Your work directly contributes to better, more efficient healthcare.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
HCPCS codingclaims processingmedical billingauditingreimbursement policiescontract interpretationfee schedulesExcelWordbasic math
Soft Skills
written communicationverbal communicationtime managementanalytical skillsindependent work
Certifications
RHIACPC