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.
Why This Role Rocks:
As a Quality Analyst, you’ll be the quality gatekeeper of our outpatient coding
audits—ensuring every audit meets EXL’s gold standard for accuracy. You’ll
validate coded data against medical documentation, lead quality reviews, and
provide expert feedback to elevate performance across the team. Your expertise
will help shape training and drive continuous improvement in how we work.
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)
For more information on benefits and what we offer please visit us
at https://www.exlservice.com/us-careers-and-benefits
[https://www.exlservice.com/us-careers-and-benefits]
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.
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:
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!
At EXL Health, you’ll not only do meaningful work—you’ll grow your career,
expand your skills, and be part of a team that values your contribution.
The posted base salary range is the hiring base salary range for this role.
Final offers are based on several factors, including: the candidate's skills and
experience, internal pay equity, work location, market conditions for the role,
and the specific scope and responsibilities of the position.
EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and
solutions company. We partner with clients using a data and AI-led approach to
reinvent business models, drive better business outcomes and unlock growth with
speed. EXL harnesses the power of data, analytics, AI, and deep industry
knowledge to transform operations for the world’s leading corporations in
industries including insurance, healthcare, banking and financial services,
media and retail, among others. EXL was founded in 1999 with the core values of
innovation, collaboration, excellence, integrity and respect. We are
headquartered in New York and have more than 54,000 employees spanning six
continents. For more information, visit www.exlservice.com
[http://www.exlservice.com/].
EXL never requires or asks for fees/payments or credit card or bank details
during any phase of the recruitment or hiring process and has not authorized any
agencies or partners to collect any fee or payment from prospective candidates.
EXL will only extend a job offer after a candidate has gone through a formal
interview process with members of EXL’s Human Resources team, as well as our
hiring managers.
EXL is the indispensable partner for leading businesses in data-led industries
such as insurance, banking and financial services, healthcare, retail and
logistics. We bring a unique combination of data, advanced analytics, digital
technology and industry expertise to help our clients turn data into insights,
streamline operations, improve customer experience, and transform their
business. Our partnerships with clients are built on a foundation of
collaboration – and we’ve been chosen as a partner by nine of the top ten
leading US insurance companies, nine of the top 20 global banks, and six of the
top ten US health care payers. We function as one team to make your goals our
goals, whether that’s unlocking the value of generative AI or embedding
analytics into workflows that reduce risk or power your growth. Clients choose
EXL as their transformation partner for many reasons. Our geographic diversity
make talent all over the world instantly accessible. Digital accelerators enable
unmatched speed-to-value, letting you realize results fast. It’s our people that
truly set us apart, though, including the 1,500 data scientists we have
dedicated to our generative AI practice. And our more than twenty years of
experience in delivering business services, garnering stellar client references,
and maintaining a solid balance sheet are reassuring to our C-suite clients.
Find out for yourself why clients, employees, and analysts think we’re some of
the best in the business. Contact us to see how we can help you achieve your
goals.