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HomeCompaniesFa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2Auditor 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

FieldValue
CompanyFa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2
TitleAuditor III - SNF/RUG
Normalized title-
Department / teamHealthcare Claims
LocationUnited States
Work modelRemote / Remote
Employment type-
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2025-08-06 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from Fa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
Department jobsActive postings in Healthcare Claims.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyFa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2
Sourcef4472405-55ec-49e1-85d6-eff173ac0cd6
ATS providerOracle 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 ID195c54585763a0e39850d3db153c435be7c20da0
Org ID4007c08f-0ad3-4dd9-bd0d-a06ff9590218
Source IDf4472405-55ec-49e1-85d6-eff173ac0cd6
Board IDf4472405-55ec-49e1-85d6-eff173ac0cd6
Provideroracle_hcm
Provider Job Key2922
TitleAuditor III - SNF/RUG
Normalized Title
Statusactive
Activeyes
Location TextUnited States; Exl -Pennsylvania
DepartmentHealthcare Claims
Team
Employment Type
Workplace Typeremote
Remote Policyremote
CountryUnited States
Region
City
Salary RawDescription 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 URLhttps://fa-ewjt-dev1-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_2/job/2922
Apply URLhttps://fa-ewjt-dev1-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_2/job/2922
First Seen At2026-05-31 18:16:17Z
Last Seen At2026-06-06 11:42:09Z
Last Checked At2026-06-06 11:42:09Z
Last Changed At2026-06-06 11:42:09Z
Inactive At
Source Posted At2025-08-06 18:58:24Z
Source Updated At
Raw Payload Uris3://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
Event Fields
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