Quality Analyst - Outpatient, Healthcare

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: $60,100 – $98,700

(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 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. Ready to take your coding career to the next level? Apply today and help us deliver excellence in every audit! 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 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.