Home Health - Auditor III

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!