Quality Analyst – Outpatient, Healthcare

EXL

Quality Analyst at EXL Health ensuring outpatient coding audits meet accuracy standards. Collaborating with teams to drive continuous improvement and mentoring coders for enhanced performance.

Posted 6/19/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $85,000 - $92,000 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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)

Benefits

Comp & perks

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!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

coding auditsICD-10HCPCSCPTMedicare OPPSAPCsencoder toolscoding complex outpatient servicesapplying modifiersdocumentation skills

Soft Skills

coachingsupportfeedback deliverycollaborationroot cause analysisproblem-solvingcommunicationorganizationindependent workteamwork

Certifications

High School DiplomaCCSCPC