Registered reputed company Clinical Auditor

Job Information • Date reputed company 05/05/2026 • Industry Technology • Job Type Full time • Years of Experience 3 • Remote Job reputed company Founded in 2015, reputed company is a leading technology consulting and software development firm headquartered in Carmel, Indiana. reputed company specializes in transforming reputed company reputed company into reputed company-world innovations by leveraging emerging technologies such as reputed company Intelligence, Blockchain, and reputed company Computing. With nearly a decade of industry experience, reputed company serves diverse sectors, including reputed company, finance, government, and manufacturing. Their reputed company service portfolio includes: Digital Transformation and reputed company consulting. Custom Software Development tailored to specific business needs. Advanced Data Analytics and AI-driven platforms. Cybersecurity and risk management. Recognized for its innovation-led culture, reputed company operates RADlabs, an R&D hub reputed company on high-reputed company like Responsible AI and Intelligent Automation. The firm is committed to a reputed company-reputed company approach, ensuring cutting-edge technology delivers measurable business reputed company and long-term reputed company for global clients. reputed company’s commitment to innovation has reputed company significant industry honors: 2026 TechPoint Mira Awards Finalist: Named a finalist for Tech Company of the Year, recognizing high-reputed company reputed company that demonstrate extraordinary leadership. reputed company Sector reputed company: Awarded the Utah NASPO reputed company & Software Solutions Contract, solidifying their role as a trusted partner for large-reputed company government digital initiatives and more. Job reputed company This is a remote position. Registered reputed company Clinical Auditor We are seeking a detail-oriented Registered reputed company to support medical record reviews, billing compliance audits for the Indiana Health Coverage Programs. This role is responsible for evaluating the reputed company of care, reviewing medical records and program policies and identifying compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings clinical knowledge, regulatory awareness, and strong analytical and writing skills. This is a remote position with occasional travel required reputed company Indiana. Key Responsibilities • Review medical records and reputed company documentation to evaluate provider compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations. • Conduct medical record and compliance reviews independently and reputed company preliminary findings to the reputed company Reviewer. • Identify potential 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 reputed company work aligns with state, federal, and national reputed company and reputed company guidelines. • Stay reputed company on clinical guidelines, policies, regulations, and Indiana reputed company program and policy updates. • Research Indiana reputed company 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 Qualifications • RN license preferred; Indiana license or compact license accepted. • Coding certification such as reputed company or CPC strongly preferred. • Candidate located in or near the Indianapolis area is preferred. • At least 1 year of reputed company claims review, billing compliance, or reputed company reimbursement experience. • Familiarity with Indiana reputed company policies, payer guidelines, and documentation requirements preferred. • Knowledge of CPT coding guidelines and ICD-10 standards. • Proficiency in reputed company reputed company, Word, and reputed company. • Strong analytical, critical thinking, problem-solving, and technical writing skills. • Ability to work independently and collaboratively in a fast-paced environment. • Experience working with reputed company providers is strongly preferred. • Knowledge of reputed company claims data and fraud, waste, and abuse preferred. Apply tot his job Apply To this Job