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 Health as an Outpatient Quality Analyst IV – QC Coder (Remote Opportunity!)

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 IV – 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 IV, 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.

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.

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!