Certified Medical Coder
Job Location:
Indianapolis, IN - USA
Monthly Salary:
Experience Required:
Posted:
Application Deadline:
Vacancies:
Job Summary
This is a remote position.
Certified Medical Coder/Medical Record Audit Specialist
We are 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. This is a remote position with occasional travel required within Indiana.
Key Responsibilities
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.
Conduct coding and documentation reviews independently and provide preliminary findings to the Lead Reviewer.
Identify potential coding discrepancies documentation deficiencies and billing compliance issues.
Maintain detailed workpapers documenting procedures performed records reviewed findings identified and conclusions reached.
Assist with audit responses and appeals as needed.
Ensure all work aligns with state federal and national coding and reimbursement guidelines.
Stay current on CPT HCPCS ICD-10-CM and Medicaid coding guidelines policies and regulatory updates.
Research Indiana Medicaid rules and maintain internal repositories of bulletins policies and procedures.
Adapt quickly to changing priorities policies regulatory updates and review requirements while maintaining accuracy and meeting deadlines.
Qualifications
Coding certification such as CCS CPC or CPMA required.
At least 1 year of medical coding claims review billing compliance or related healthcare reimbursement experience.
Familiarity with Indiana Medicaid policies payer guidelines and documentation requirements preferred.
Candidate located in or near the Indianapolis area 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 working with healthcare providers strongly preferred.
Knowledge of healthcare claims data and fraud waste and abuse preferred.
Required Skills:
Required Qualifications CPC CCS or equivalent medical coding certification (AAPC or AHIMA) 13 years of hands-on coding experience (inpatient and/or outpatient) Proficiency in ICD-10-CM CPT and HCPCS Level II code sets Strong understanding of payer billing requirements and compliance standards High attention to detail and ability to work independently Preferred Qualifications Experience coding in hospital physician group or health system settings Familiarity with EMR/EHR platforms (Epic Cerner or similar) Knowledge of RAC audit processes or clinical documentation improvement (CDI) Travel Requirement: No regular travel is expected. Occasional onsite presence for audits or key meetings; pre-approved with expenses covered.
