[Remote] Quality Analyst - Outpatient

Note: The job is a remote job and is open to candidates in USA. EXL Health is seeking an experienced Outpatient Quality Analyst to join their remote team, focusing on ensuring accuracy in medical coding audits. The role involves validating coded data, leading quality reviews, and providing feedback to enhance team performance and drive continuous improvement.ResponsibilitiesReview coding audits to ensure findings are accurate, consistent, and compliantProvide coaching and support to coders to enhance accuracy and confidenceDeliver feedback from audit reviews and identify training needs or process gapsContribute to improving audit methods, processes, and documentationCollaborate closely with peers and leadership to drive quality improvementsProvide insightful root cause analyses for coding discrepanciesSupport compliance with company and regulatory standardsTake on additional tasks and challenges as needed in a dynamic environmentSkillsHigh School Diploma (required)CCS or CPC certification (required)At least 5 years of coding experience across both professional and hospital settingsDeep knowledge of ICD-10, HCPCS/CPT, Medicare OPPS, and APCsSkilled in using encoder tools (Optum, TrueCode, 3M, Webstrat)Familiar with Medicare LCD and NCD guidelinesAbility to code complex outpatient services (e.g., interventional radiology, ambulatory surgery, ER, observation)Expertise in applying modifiers and following Medicare/NCCI rulesStrong documentation skills with the ability to reference official coding guidelinesExcellent communication, organization, and problem-solving abilitiesComfortable working independently or as part of a teamTech-savvy with Microsoft Office (Excel, PowerPoint, Outlook, Word)BenefitsRemote work flexibility and a chance to impact healthcare delivery nationwideOpportunities for growth and mentorship through our structured coaching programA collaborative culture where your ideas and insights are valuedReal opportunities for advancement—your future here is what you make it!Company OverviewEXL is a provider of Transformation and Outsourcing services to Global 1000 companies in multiple industries It was founded in 1999, and is headquartered in New York, New York, USA, with a workforce of 10001+ employees. Its website is http://www.exlservice.com.