Briljent
Medical Coder - Audit Specialist
Indianapolis, Indiana, United States
Sponsorship not specifiedDetected 35 days ago
ExcelICD-10ResearchProblem SolvingCritical ThinkingWriting
About the role
- This role is responsible for reviewing medical records and claims-related documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities.
- The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and writing skills.
- While this position is remote, Indiana residents encouraged to apply.
Responsibilities
- Conduct coding and documentation reviews independently and provide preliminary findings to the Lead Reviewer.
- Maintain detailed workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached.
- Research Indiana Medicaid rules and maintain internal repositories of bulletins, policies, and procedures.
- Physical Requirements & Environmental Conditions: An employee must meet these physical demands to successfully perform the essential functions of this job.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Requirements
- Employee is regularly required to talk or hear, sit, and utilize technology tools such as a laptop computer for extended periods of time.
- Coding certification such as CCS, CPC, or CPMA required.
- Proficiency in Microsoft Excel, Word, and Outlook.
Nice to have
- Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred.
- Candidate located in or near the Indianapolis area preferred.
Benefits
- 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.
- Review medical records and related documentation to assess coding accuracy and compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations.
- Ensure all work aligns with state, federal, and national coding and reimbursement guidelines.
- At least 1 year of medical coding, claims review, billing compliance, or related healthcare reimbursement experience.
Equal opportunity
- Briljent believes diversity and inclusion are critical to the success of the company.
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This listing is sourced directly from Briljent's careers page and normalized into a canonical job model.