Medical Coder - Audit Specialist - Remote

Overview

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 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.

In Short

• Review medical records and related documentation for coding accuracy.
• Conduct coding and documentation reviews independently.
• Identify potential coding discrepancies and billing compliance issues.
• Assist with audit responses and appeals as needed.
• Ensure all work aligns with coding and reimbursement guidelines.
• Stay current on CPT, HCPCS, ICD-10-CM, and Medicaid coding guidelines.
• Research Indiana Medicaid rules and maintain internal repositories.
• Adapt to changing priorities and maintain accuracy.

Requirements

• Coding certification such as CCS, CPC, or CPMA required.
• At least 1 year of medical coding or related experience.
• Familiarity with Indiana Medicaid policies preferred.
• Proficiency in Microsoft Excel, Word, and Outlook.
• Strong analytical and problem-solving skills.
• Ability to work independently and collaboratively.
• Experience working with healthcare providers preferred.
• Knowledge of healthcare claims data preferred.

Benefits

• Remote work with occasional travel required.
• Diversity and inclusion in the workplace.
• Focus on creative solutions and professional development.