Medical Coder Audit Specialist
New
B
BriljentHealthcare Compliance
Remote position with occasional travel within Indiana. Indiana residents are strongly encouraged to apply.Full-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum of one (1) year of experience
- Required Skills
- Data AnalysisMicrosoft Excel
Requirements
- Current coding certification such as CCS, CPC, CPMA, or equivalent.
- Minimum of one year of experience in medical coding, coding audits, billing compliance, or claims review.
- Strong proficiency in Microsoft Excel, including formulas, data validation, and reporting.
- Experience working with large datasets.
- Strong analytical thinking and problem-solving skills.
- Demonstrated technical writing skills.
- Ability to work independently in a fast-paced environment.
- Ability to manage multiple priorities effectively.
- Residence in or near the Indianapolis area.
- Ability to travel occasionally within Indiana.
Responsibilities
- Review medical records, claims, and supporting documentation for coding accuracy and regulatory compliance.
- Perform detailed coding audits and documentation reviews independently.
- Identify coding discrepancies, documentation deficiencies, and billing irregularities.
- Maintain thorough audit workpapers documenting procedures, findings, and conclusions.
- Utilize Microsoft Excel to organize, analyze, and validate audit results and claims data.
- Prepare audit reports and summaries for internal and external stakeholders.
- Identify patterns and trends related to billing errors or process improvement opportunities.
- Interpret Indiana Medicaid policies and maintain internal resources on coding guidance.
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