Audit Coordinator II (Repricing), Healthcare

Are you detail-driven, analytical, and passionate about medical claims and billing accuracy? Join our growing team as an Audit Coordinator II – Repricing, where you’ll play a critical role in ensuring accurate claim payments, maximizing savings, and supporting top-tier healthcare clients.

In this role, you’ll apply your expertise in medical billing, medical terminology, and repricing claims to validate audit findings, interpret client contracts, and ensure precision in every detail. If you thrive in a fast-paced environment and enjoy working with data, systems, and cross-functional teams—this is the opportunity for you.

 

Compensation, Location & Travel

• Hourly Rate: $21.63 – $26.44 (based on experience, skills, and qualifications)
• Location: 100% Remote (U.S.-based)
• Travel: Up to 10% annually for team meetings and limited client onsite engagements

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

The posted range represents the hiring range for this role and is a subset of the broader compensation range available to employees over time. Final offers are determined based on factors such as experience, skills, internal equity, location, and market conditions. Candidates who exceed requirements may be considered at the top of the range. In higher-cost markets such as California, New York, and New Jersey, compensation may exceed the posted range. Your recruiter will provide additional details during the process.

What You’ll Do

• Review and validate audit findings and repricing claims, ensuring accuracy in calculations, logic, and documentation
• Apply client contracts and reimbursement methodologies to determine accurate payment adjustments and savings outcomes
• Enter and manage claim data within client systems, ensuring all information is accurate, complete, and submitted on time
• Conduct detailed reviews of client letters and repricing documentation for accuracy, formatting, and clarity
• Investigate and resolve discrepancies related to medical claims, payment variances, and pricing adjustments
• Track repricing inventory, generate reports, and support ad hoc requests from leadership
• Communicate with providers and clients regarding audit outcomes, overpayments, and pricing decisions
• Partner with internal teams—including audit, coding, and clinical validation—to resolve complex issues
• Serve as a key point of contact between internal teams and clients, clearly explaining repricing logic
• Perform re-reviews of complex audits, including cases with minimal or no identified savings
• Maintain accurate documentation in internal and client systems (EXL or similar platforms)
• Leverage strong computer skills, including navigating systems, working with URLs, and managing multiple platforms
• Identify opportunities to improve workflows, accuracy, and overall efficiency
• Ensure compliance with HIPAA and confidentiality standards at all times

What You Bring

• High School Diploma required; Associate degree or certification in medical billing, healthcare, or related field preferred
• 2–3 years of experience in medical claims auditing, claims analysis, or payment integrity
• Strong experience with repricing claims, reimbursement methodologies, and audit adjustments
• Solid understanding of medical terminology, billing practices, and healthcare reimbursement processes
• Ability to interpret and apply client contracts and pricing logic accurately
• Strong computer proficiency, including entering data into systems and navigating URL-based/web platforms
• Advanced Microsoft Office skills, especially Excel (formulas, reporting, data validation)
• Exceptional attention to detail with strong analytical and problem-solving abilities
• Ability to manage multiple priorities in a fast-paced, deadline-driven environment
• Strong communication skills with the ability to clearly explain complex concepts
• High level of integrity and professionalism when handling sensitive information

 

What We Offer

✨ A fast-paced, innovative environment where your work directly impacts client success and healthcare outcomes

✨ Hands-on experience with top-tier healthcare clients, giving you exposure to meaningful, high-impact projects

✨ A collaborative and inclusive culture that supports your growth, values your ideas, and encourages continuous learning

✨ A competitive benefits package, including healthcare, vision, dental, and 401(k) options to support you inside and outside of work

 

🌟 Ready to make an impact?

If you’re looking to grow your career in healthcare audit and bring your expertise in medical claims and repricing to a high-performing team—we’d love to hear from you.