EXL

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Durable Medical Equipment Auditor

AuditorAuditorFull TimeRemoteTeam 10,001+H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

3 days ago

Salary

$50K - $65K / year

Associate Degree3 yrs expEnglish

Job Description

• As a DME Auditor, use your understanding of Durable Medical Equipment (DME), Medicare, Medicaid, and commercial reimbursement rules to review claims. • Analyze claims, document findings, and help recover overpayments while impacting healthcare efficiency. • Review medical records to verify services billed for audits. • Identify overcharges, undercharges, and unbundled items with rationale to support findings.

Job Requirements

  • Three or more years of experience in claims processing, medical billing, or auditing—with a strong focus on Durable Medical Equipment (DME).
  • In-depth knowledge of HCPCS codes and reimbursement policies.
  • Proven ability to read and interpret contract language and fee schedules.
  • Intermediate Excel and Word skills, with a solid grasp of basic math.
  • Preferably certified with RHIA, CPC, or similar credentials (multiple credentials are a plus).
  • Bonus if you’ve used: FACETS, NASCO, Encoder Pro, TrueCode, 3M, Webstrat, Pricers.
  • Comfortable working independently in a remote environment.
  • Strong written and verbal communication, time management, and analytical skills.

Benefits

  • For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits

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