Quality Analyst - Outpatient, Healthcare

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:

• 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!