Home › Companies › Fa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2 › Auditor III - SNF/RUG
Auditor III - SNF/RUG
Fa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2 · United States; Exl -Pennsylvania · Remote · Active · Oracle Recruiting Cloud / Fusion HCM
Job facts
| Field | Value |
|---|---|
| Company | Fa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2 |
| Title | Auditor III - SNF/RUG |
| Normalized title | - |
| Department / team | Healthcare Claims |
| Location | United States |
| Work model | Remote / Remote |
| Employment type | - |
| Salary | - |
| Status | active |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2025-08-06 / 2026-05-31 |
| Changed / last seen | 2026-06-06 / 2026-06-06 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Fa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Oracle Recruiting Cloud / Fusion HCM. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| Department jobs | Active postings in Healthcare Claims. | Open |
| Work model jobs | Active Remote postings. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Fa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2 |
| Source | f4472405-55ec-49e1-85d6-eff173ac0cd6 |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
Description
Description
At EXL, we bring together sharp, innovative professionals eager to make an impact in healthcare. In this role, you'll apply your clinical expertise to review claims, validate charges, and ensure compliance—all while working in a dynamic, collaborative environment.
Responsibilities
What You’ll Do:
✅ Conduct in-depth clinical reviews to verify skilled nursing facility (SNF) billing accuracy.
✅ Analyze claims paid under PDPM, RUG, and per diem payment models to identify overpayments.
✅ Apply ICD-10 coding guidelines to validate diagnoses on Minimum Data Set (MDS) assessments.
✅ Document audit findings clearly and concisely using EXL tools, CMS guidelines, and payer policies.
✅ Stay up to date on changes in clinical guidelines, reimbursement trends, and regulations.
✅ Meet or exceed productivity and quality goals in a remote, independent work environment.
Qualifications
What You Bring:
🔹 Required:
✔ LPN or RN (Associate’s or Bachelor’s degree preferred).
✔ 3+ years of skilled nursing experience (RAC certification, reimbursement, or MDS coordinator experience a plus!).
✔ Familiarity with PDPM, RUG, Medicaid 48 grouper reimbursement , and HIPPS codes billing.
🔹 Skills That Set You Apart:
💡 Strong analytical and problem-solving skills.
📑 Excellent written and verbal communication.
⏳ Effective time management and ability to prioritize work.
💻 Proficiency in Excel, Word, and OneNote .
🤝 A collaborative, team-oriented mindset with the ability to work independently.
Full job record
| Job ID | 195c54585763a0e39850d3db153c435be7c20da0 |
| Org ID | 4007c08f-0ad3-4dd9-bd0d-a06ff9590218 |
| Source ID | f4472405-55ec-49e1-85d6-eff173ac0cd6 |
| Board ID | f4472405-55ec-49e1-85d6-eff173ac0cd6 |
| Provider | oracle_hcm |
| Provider Job Key | 2922 |
| Title | Auditor III - SNF/RUG |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | United States; Exl -Pennsylvania |
| Department | Healthcare Claims |
| Team | — |
| Employment Type | — |
| Workplace Type | remote |
| Remote Policy | remote |
| Country | United States |
| Region | — |
| City | — |
| Salary Raw | Description At EXL, we bring together sharp, innovative professionals eager to make an impact in healthcare. In this role, you'll apply your clinical expertise to review claims, validate charges, and ensure compliance—all while working in a dynamic, collaborative environment. Responsibilities What You’ll Do: ✅ Conduct in-depth clinical reviews to verify skilled nursing facility (SNF) billing accuracy. ✅ Analyze claims paid under PDPM, RUG, and per diem payment models to identify overpayments. ✅ Apply ICD-10 coding guidelines to validate diagnoses on Minimum Data Set (MDS) assessments. ✅ Document audit findings clearly and concisely using EXL tools, CMS guidelines, and payer policies. ✅ Stay up to date on changes in clinical guidelines, reimbursement trends, and regulations. ✅ Meet or exceed productivity and quality goals in a remote, independent work environment. Qualifications What You Bring: 🔹 Required: ✔ LPN or RN (Associate’s or Bachelor’s degree preferred). ✔ 3+ years of skilled nursing experience (RAC certification, reimbursement, or MDS coordinator experience a plus!). ✔ Familiarity with PDPM, RUG, Medicaid 48 grouper reimbursement , and HIPPS codes billing. 🔹 Skills That Set You Apart: 💡 Strong analytical and problem-solving skills. 📑 Excellent written and verbal communication. ⏳ Effective time management and ability to prioritize work. 💻 Proficiency in Excel, Word, and OneNote . 🤝 A collaborative, team-oriented mindset with the ability to work independently. |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | — |
| Source URL | https://fa-ewjt-dev1-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_2/job/2922 |
| Apply URL | https://fa-ewjt-dev1-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_2/job/2922 |
| First Seen At | 2026-05-31 18:16:17Z |
| Last Seen At | 2026-06-06 11:42:09Z |
| Last Checked At | 2026-06-06 11:42:09Z |
| Last Changed At | 2026-06-06 11:42:09Z |
| Inactive At | — |
| Source Posted At | 2025-08-06 18:58:24Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=fa-ewjt-dev1-saasfaprod1.fa.ocs.oraclecloud.com|CX_2/date=2026-06-06/2026-06-06T11-40-40-902Z-f473103c80ae0f118470b6de4fc378b595a5a21e8b433ee07cd144fdd5384e0e.json |
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