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Medical Record Audit Specialist

RADcube - A NLogix Company

Job Location:

Indianapolis, IN - USA

Monthly Salary: Not provided by the employer

Experience Required: 3years

Posted: 21 August 2026 (30+ days ago)

Application Deadline: 18 November 2026

Vacancies: 1 Vacancy

Job Summary

This is a remote position.

Certified Medical Coder/Medical Record Audit Specialist - Behavioral Health

Location: Fully Remote with occasional travel to Downtown Indianapolis IN (expenses covered)

Job Summary:

We are seeking a Certified Medical Coder/Medical Record Audit Specialist with strong Behavioral Health coding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance identifying billing and documentation issues and preparing audit work-papers and reports in alignment with CMS AHIMA and Indiana Medicaid standards.

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 work-papers 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.

Requirements

Required Qualifications:

Active coding certification: CCS (AHIMA) CPC (AAPC) or CPMA (AAPC).
Minimum 2-3 years of hands-on medical coding claims review or audit experience
Significant experience coding Behavioral Health Mental Health or Psychiatric encounters
Hands-on proficiency with ICD-10-CM CPT and HCPCS coding systems
Experience conducting medical record audits claims reviews or supporting appeals
Comfortable completing a timed Excel proficiency assessment (sorting filtering VLOOKUP conditional formatting) required by the client prior to submission

Preferred Qualifications

Familiarity with Indiana Medicaid (IHCP) policies and payer guidelines
Knowledge of CMS regulations and AHIMA Standards of Ethical Coding
Experience with Epic Cerner 3M Encoder or similar EHR and encoder platforms
Prior experience specifically supporting Medicaid audit or compliance functions.

Required Skills:

Required Qualifications: Active coding certification: CCS (AHIMA) CPC (AAPC) or CPMA (AAPC). Minimum 2-3 years of hands-on medical coding claims review or audit experience Significant experience coding Behavioral Health Mental Health or Psychiatric encounters Hands-on proficiency with ICD-10-CM CPT and HCPCS coding systems Experience conducting medical record audits claims reviews or supporting appeals Comfortable completing a timed Excel proficiency assessment (sorting filtering VLOOKUP conditional formatting) required by the client prior to submission Preferred Qualifications Familiarity with Indiana Medicaid (IHCP) policies and payer guidelines Knowledge of CMS regulations and AHIMA Standards of Ethical Coding Experience with Epic Cerner 3M Encoder or similar EHR and encoder platforms Prior experience specifically supporting Medicaid audit or compliance functions.

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