Company Overview and Culture 

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 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com.

About EXL Health

We leverage Human Ingenuity and domain expertise to help clients improve outcomes, optimize revenue and maximize profitability across the healthcare ecosystem.  Technology, data and analytics are at the heart of our solutions.  We collaborate closely with clients to transform how care is delivered, managed and paid.  

EXL Health combines deep domain expertise with analytic insights and technology-enabled services to transform how care is delivered, managed, and paid.  Leveraging Human Ingenuity, we collaborate with our clients to solve complex problems and enhance their performance with nimble, scalable solutions.  With data on more than 260 million lives, we work with hundreds of organizations across the healthcare ecosystem.   

We help payers improve member care quality and network performance, manage population risk, and optimize revenue while decreasing administrative waste and reducing health claim expenditures. We help Pharmacy Benefit Managers (PBMs) manage member drug benefits and reduce drug spending while maintaining quality. We help provider organizations proactively manage risk, improve outcomes, and optimize network performance. We provide Life Sciences companies with enriched data, insights through advanced analytics and data visualization tools to get the right treatment to the right patient at the right time.

Join EXL as an Auditor III – Home Health (Remote)
Bring your clinical expertise to a role where your insights truly make a difference.

Are you a skilled clinician with a passion for accuracy, compliance, and making a real impact in healthcare? EXL is looking for a Home Health Auditor III to join our team — and we’re offering a 100% remote, work-from-home opportunity!

At EXL, we blend cutting-edge technology with expert clinical knowledge to improve outcomes for our clients and their patients. As a Home Health Auditor III, you'll play a key role in ensuring proper documentation and accurate billing, leveraging your experience and analytical mind to review medical records and identify patterns, trends, and opportunities for improvement.

🔍What You’ll Do:

• Audit Home Health medical records to validate or revise billed services based on CMS guidelines.
• Apply clinical judgment and coding expertise to identify overpayments and ensure proper reimbursement.
• Document audit findings with clarity, professionalism, and precision using OASIS, ICD-10 CM, and CMS Home Health guidelines.
• Utilize industry-leading tools like Decision Health, Webstrat, and proprietary EXL platforms to complete your work efficiently.
• Identify audit trends and help drive improvements that benefit both providers and patients.
• Stay current on the latest clinical and reimbursement guidelines and deliver work that meets or exceeds productivity and quality benchmarks.

✅What We’re Looking For:

• LPN or Registered Nurse(Associate’s or Bachelor’s degree preferred).
• 3+ years of acute care nursing experience, with strong consideration for candidates holding OASIS or Coding certifications.
• Prior experience in Home Health auditing is essential.
• Deep knowledge of PDGM and PPS payment methodologies.

🛠️Skills for Success:

• Proficiency in auditing and coding tools (Decision Health, ICD-10, Webstrat).
• Strong command of Microsoft Office, including Excel, Word, and OneNote.
• Exceptional time management, attention to detail, and independent work ethic.
• Clear and confident communicator – both in writing and verbally.
• Passion for improving healthcare through teamwork, collaboration, and continuous learning.

What We Offer:

✨A fast-paced, innovative environment with a team of industry-leading experts.
✨Hands-on experience with top-tier clients in the healthcare industry.
✨Mentorship and career development programs to help you grow professionally.
✨A strong culture of collaboration, support, and inclusivity.
✨Competitive benefits package, including healthcare, vision, dental, and 401(k) options.

Ready to Take Your Career to the Next Level?

If you're looking for a rewarding and challenging opportunity where your expertise will be valued, your growth will be supported, and your contributions will make a difference—apply today and become part of the EXL team!