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Certified Medical Coder/Auditor

RADcube

Remote • 9d ago

Easy Apply

Contract

Depends on Experience

Medical Coder

Cyma Systems Inc

Cranston, Rhode Island • Yesterday

Easy Apply

Contract, Third Party

Depends on Experience

Risk Adjustment Coding Auditor

Javen Technologies, Inc

Remote • 2d ago

Easy Apply

Contract

Depends on Experience

Certified Clinical Coding Specialist

InterBase Corporation

Remote • 30+d ago

Easy Apply

Contract

Up to $65

Job Details

Skills

Auditing
HCPCS
ICD-10
Medicaid
Microsoft Excel
VLOOKUP
Medical Records
Documentation

Summary

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 workpapers 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 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.

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

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 91133125
Position Id: 9089801
Posted 30+ days ago

Fitment

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Medical Coding & Autonomous Coding Expert Remote Seeking experienced Medical Coding SMEs/Expertswith strong hands-on expertise in Surgery, Anesthesia, Orthopedics, and Inpatient codingacross complex clinical scenarios. Must have deep knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, DRG, modifiers, documentation guidelines, and coding compliance. Experience with autonomoAI-assisted medical coding platformsand ability to evaluate coding recommendations generated from clinical charts, physician do

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Medical Coding SME - Remote position

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Job Details

Skills

Auditing
HCPCS
ICD-10
Medicaid
Microsoft Excel
VLOOKUP
Medical Records
Documentation

Summary

Certified Medical Coder/Medical Record Audit Specialist - Behavioral Health

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

Job Summary:

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.

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

Dice Id: 91133125
Position Id: 9089801
Posted 30+ days ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

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