Senior Outpatient Coding Auditor – Provider Education Specialist

EXL

Senior outpatient coding auditor educating providers for EXL, a healthcare analytics and digital operations company. Auditing records, explaining reimbursement rules, and improving coding accuracy and compliance.

Posted 8/10/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $90,000 - $100,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in outpatient coding, auditing, and compliance, with a strong focus on CPT, HCPCS, and ICD-10 coding systems. Capable of effectively communicating complex coding concepts and providing tailored education to healthcare providers.

Highest-signal resume keywords

Outpatient Coding ExperienceCPT, HCPCS, ICD-10 KnowledgeAAPC or AHIMA CertificationProvider Education ExperienceAudit and Compliance Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingHCPCS CodingICD-10 CodingAuditing E/M ServicesDocumentation StandardsReimbursement MethodologiesCoding GuidelinesCompliance EnforcementAudit Findings DevelopmentProvider Billing Trend Analysis

Soft Skills

Effective CommunicationEmpathyDe-escalation TechniquesTrust BuildingSolution-oriented Approach

Certifications & Qualifications

CPCCPMACCSCCS-PRHITRHIA

Industry Keywords

Health Information ManagementHealthcare AdministrationProvider EducationClinical Documentation ImprovementHealthcare Analytics

About the role

Key responsibilities & impact

Conduct one-on-one and group education sessions with providers about billing trends, coding requirements, and best practices
Reinforce documentation standards supporting accurate code selection and reimbursement
Translate complex coding and reimbursement guidelines into practical guidance tailored to provider workflows
Serve as the primary contact for providers in the education program
Respond to provider inquiries about coding guidelines, documentation requirements, and reimbursement policies
Build trust and credibility through respectful, transparent, solution-oriented communication
Manage challenging provider conversations using de-escalation techniques
Balance compliance enforcement with a supportive educational approach
Audit outpatient medical records for CPT, HCPCS, and ICD-10 accuracy and compliance with payer and regulatory requirements
Identify coding variation, documentation deficiencies, and compliance risks
Develop audit findings, summaries, and provider-specific feedback reports with actionable recommendations
Ensure alignment with AMA CPT®, CMS, NCCI, and payer-specific policies

Requirements

What you’ll need

Bachelor’s degree in Health Information Management, Healthcare Administration, or related field, or equivalent experience
Minimum of 5+ years of outpatient coding, auditing, or compliance experience
Active AAPC certification such as CPC or CPMA, or AHIMA certification such as CCS, CCS-P, RHIT, or RHIA
Extensive knowledge of CPT, HCPCS, and ICD-10 coding systems
Knowledge of CMS and payer reimbursement methodologies
Demonstrated experience auditing E/M services and other outpatient procedures
Ability to explain complex coding and reimbursement concepts clearly and effectively
Ability to navigate sensitive conversations professionally and empathetically
Proven ability to manage and resolve challenging provider interactions
Ability to understand and communicate provider billing trend metrics
Ability to tailor messaging to provider specialty, experience, and receptiveness
Preferred: experience in provider education or clinical documentation improvement (CDI)
Preferred: experience working directly with physicians, advanced practice providers, and behavioral health clinicians
Preferred: background in healthcare analytics or performance improvement initiatives
A brief coding/auditing assessment may be included in the interview process

Benefits

Comp & perks

Up to 10% annual travel for team meetings and limited client onsite engagements
Mentorship and career development programs
Culture of collaboration, support, and inclusivity
Competitive benefits package
Healthcare
Vision insurance
Dental insurance
401(k) options
Fast-paced, innovative environment with industry-leading experts
Hands-on experience with top-tier healthcare clients