RADcube
Carmel, IN
Job Description
This is a remote position, with occasional travel required within Indiana.
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.
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,...