Quality Analyst – Outpatient, Healthcare

EXL

. Review coding audits to ensure findings are accurate, consistent, and compliant .

Posted 10/27/2026full-timeRemote • United StatesMid-LevelSenior💰 $85,000 - $92,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coding audits, compliance standards, and documentation processes while providing coaching and support to enhance coder accuracy. Proficient in ICD-10, HCPCS/CPT, and Medicare guidelines, with strong analytical and communication skills.

Highest-signal resume keywords

CCS CertificationCPC CertificationICD-10 KnowledgeEncoder Tools ProficiencyCoding Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding AuditsICD-10HCPCS/CPTMedicare OPPSAPCsModifiers ApplicationDocumentation SkillsCoding Complex Outpatient ServicesRoot Cause AnalysisCompliance Standards

Soft Skills

CommunicationOrganizationProblem-SolvingCoachingTeam Collaboration

Tools & Technologies

OptumTrueCode3MWebstratMicrosoft Office

Certifications & Qualifications

CCSCPC

Industry Keywords

Medicare LCDMedicare NCDNCCI RulesCoding GuidelinesAudit Methods

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 with peers and leadership to drive quality improvements
Provide root cause analyses for coding discrepancies
Support compliance with company and regulatory standards
Take on additional tasks and challenges as needed

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)
Familiarity with Medicare LCD and NCD guidelines
Ability to code complex outpatient services, including interventional radiology, ambulatory surgery, ER, and observation
Expertise in applying modifiers and following Medicare/NCCI rules
Strong documentation skills with ability to reference official coding guidelines
Proficiency with Microsoft Office, including Excel, PowerPoint, Outlook, and Word
Excellent communication, organization, and problem-solving abilities
Ability to work independently or as part of a team
Ability to complete a brief coding/auditing assessment as part of the interview process

Benefits

Comp & perks

Remote work flexibility
Opportunities for growth and mentorship through a structured coaching program
Collaborative culture where ideas and insights are valued
Opportunities for advancement
Fast-paced, innovative work environment
Meaningful work impacting healthcare delivery nationwide