Home › Companies › Fa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2 › DRG Auditor - Annual Performance Bonus - w/Immigration (H2RORC-T11358 (1.0)
DRG Auditor - Annual Performance Bonus - w/Immigration (H2RORC-T11358 (1.0)
Fa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2 · United States; US New Jersey (Lambertville) C80 · Remote · Active · Oracle Recruiting Cloud / Fusion HCM
Job facts
| Field | Value |
|---|---|
| Company | Fa Ewjt Dev1 Saasfaprod1 Fa Ocs Oraclecloud Com CX 2 |
| Title | DRG Auditor - Annual Performance Bonus - w/Immigration (H2RORC-T11358 (1.0) |
| Normalized title | - |
| Department / team | Healthcare Auditing |
| Location | United States |
| Work model | Remote / Remote |
| Employment type | - |
| Salary | - |
| Status | active |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2025-08-20 / 2026-05-31 |
| Changed / last seen | 2026-05-31 / 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 Auditing. | 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
Key Responsibilities:
Conduct Home Health reviews to verify the accuracy of the billed services based on CMS guidelines.
Apply CMS guidelines during medical record review to ensure services provided are supported. In addition, utilize industry and proprietary tools to maximize overpayment identifications.
Document audit results in a clear, concise, and effective manner using CMS Home Health, Oasis and ICD-10 CM Guidelines.
Utilize proprietary workflow systems and encoder tools (e.g., Decision Health, Webstrat, etc.) efficiently and accurately to make audit determinations, generate audit rationales and move claims through workflow process correctly.
Meet or exceed EXL established program productivity and quality goals, including uphold rate for appeals.
Demonstrate knowledge of and compliance with changes and updates to clinical guidelines, reimbursement trends, and client processes and requirements.
Comply with all EXL policies and procedures including HIPAA and other state and federal regulations.
Responsibilities
Qualifications:
LPN, Registered Nurse with Associate's or Bachelor's degree preferred
3+ years of acute care nursing experience with preference given to candidates with OASIS or Coding Certification.
Prior Home Health auditing experience.
Qualifications
Knowledge, Skills, Behaviors:
Extensive knowledge of PDGM and PPS payment methodologies.
Experience with encoder tools (Decision Health, ICD-10, Webstrat).
Works independently in a remote environment and delivers exceptional results during EXL core business hours.
Possesses excellent time management and work prioritization skills.
Takes ownership of problem solving.
Demonstrates excellent written and verbal communication skills, strong analytical skills, and attention to detail.
Proficient in Excel, Word, and OneNote with general computer literacy.
Passionate about Home Health Auditing with a desire to work in an environment thriving on teamwork, excellence, collaboration, inclusiveness, and support.
Full job record
| Job ID | 92b65f60fc17127a80f4fba3fc3ca3290a386629 |
| 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 | 3339 |
| Title | DRG Auditor - Annual Performance Bonus - w/Immigration (H2RORC-T11358 (1.0) |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | United States; US New Jersey (Lambertville) C80 |
| Department | Healthcare Auditing |
| Team | — |
| Employment Type | — |
| Workplace Type | remote |
| Remote Policy | remote |
| Country | United States |
| Region | — |
| City | — |
| Salary Raw | Description Key Responsibilities: Conduct Home Health reviews to verify the accuracy of the billed services based on CMS guidelines. Apply CMS guidelines during medical record review to ensure services provided are supported. In addition, utilize industry and proprietary tools to maximize overpayment identifications. Document audit results in a clear, concise, and effective manner using CMS Home Health, Oasis and ICD-10 CM Guidelines. Utilize proprietary workflow systems and encoder tools (e.g., Decision Health, Webstrat, etc.) efficiently and accurately to make audit determinations, generate audit rationales and move claims through workflow process correctly. Meet or exceed EXL established program productivity and quality goals, including uphold rate for appeals. Demonstrate knowledge of and compliance with changes and updates to clinical guidelines, reimbursement trends, and client processes and requirements. Comply with all EXL policies and procedures including HIPAA and other state and federal regulations. Responsibilities Qualifications: LPN, Registered Nurse with Associate's or Bachelor's degree preferred 3+ years of acute care nursing experience with preference given to candidates with OASIS or Coding Certification. Prior Home Health auditing experience. Qualifications Knowledge, Skills, Behaviors: Extensive knowledge of PDGM and PPS payment methodologies. Experience with encoder tools (Decision Health, ICD-10, Webstrat). Works independently in a remote environment and delivers exceptional results during EXL core business hours. Possesses excellent time management and work prioritization skills. Takes ownership of problem solving. Demonstrates excellent written and verbal communication skills, strong analytical skills, and attention to detail. Proficient in Excel, Word, and OneNote with general computer literacy. Passionate about Home Health Auditing with a desire to work in an environment thriving on teamwork, excellence, collaboration, inclusiveness, and support. |
| 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/3339 |
| Apply URL | https://fa-ewjt-dev1-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_2/job/3339 |
| 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 | 2026-05-31 18:16:17Z |
| Inactive At | — |
| Source Posted At | 2025-08-20 17:06:59Z |
| 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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