Quality Analyst - Outpatient, Healthcare

EXL Service • Full-time • Remote • $85k - $92k / year • 2d ago

JOB DESCRIPTION

Are you passionate about accuracy in medical coding and ready to make a real impact in healthcare quality? EXL Health is looking for an experienced Outpatient Quality Analyst – QC Coder to join our remote team! If you’re a detail-oriented coding professional who thrives on mentoring others and making process improvements, this is the role for you.

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)

JOB RESPONSIBILITIES

What You’ll Be Doing:

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.

JOB QUALIFICATIONS

What You’ll Bring:

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)

What We Offer You: