Role Description The Nurse Auditor conducts hospital charge audits on claims paid at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record. Charge audits identify overcharges, undercharges and unbundled items per carrier contract, industry standards and payer reimbursement policies.

• Itemized Bill Review knowledge is required with regard to Unbundling Guidelines specific to payer policy, industry standards and Medicare Guidelines.
• The nurse will also be responsible for independent scheduling requiring flexibility and possible travel to provider location.
• The position requires strong clinical experience and technical skills.

Qualifications

• Strong clinical experience.
• Technical skills relevant to charge audits.
• Knowledge of Itemized Bill Review and Unbundling Guidelines.

Requirements

• Flexibility for independent scheduling.
• Willingness to travel to provider locations.

Benefits

• Opportunity to work with a leading data analytics and digital operations company.
• Engagement in a collaborative environment with industry experts.

Company Description

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.

• Founded in 1999 with core values of innovation, collaboration, excellence, integrity, and respect.
• Headquartered in New York with more than 54,000 employees spanning six continents.
• Indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail, and logistics.
• 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.