Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role involves reviewing medical records and claims-related documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities.
This position is remote with occasional travel required within Indiana. Indiana residents are encouraged to apply.
Key Responsibilities include reviewing medical records to assess coding accuracy and compliance with Indiana Health Coverage Programs, CMS, AMA, and other standards; conducting coding and documentation reviews independently and providing preliminary findings; identifying potential coding discrepancies and billing compliance issues; maintaining detailed documentation of audit procedures and findings; assisting with audit responses and appeals; ensuring compliance with coding and reimbursement guidelines; staying up-to-date on CPT, HCPCS, ICD-10-CM, and Medicaid coding guidelines; researching Indiana Medicaid rules; and adapting to changing priorities while maintaining accuracy and meeting deadlines.
Physical requirements include regular use of technology and visual focus. Reasonable accommodations are available for individuals with disabilities.
Brijlent values diversity and inclusion and offers employment based on merit and qualifications without discrimination.
- Coding certification such as CCS, CPC, or CPMA is required.
- Minimum of 1 year experience in medical coding, claims review, billing compliance, or related healthcare reimbursement.
- Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred.
- Candidate located in or near Indianapolis preferred.
- Proficiency in Microsoft Excel, Word, and Outlook.
- Strong analytical, critical thinking, problem-solving, and technical writing skills.
- Ability to work independently and collaboratively in a fast-paced environment.
- Experience with healthcare providers and knowledge of healthcare claims data and fraud, waste, and abuse is a plus.
Location
Indianapolis, Indiana, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago