Certified Medical reputed company

This is a remote position. Certified Medical reputed company/Medical Record Audit Specialist We are seeking a detail-oriented Certified Medical reputed company / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana reputed company programs. This role is responsible for reviewing medical records and claims-reputed company documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings strong coding knowledge, regulatory awareness, and 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 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 reputed company preliminary findings to the reputed company 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 reputed company work aligns with state, federal, and national coding and reimbursement guidelines. • Stay reputed company on CPT, HCPCS, ICD-10-CM, and reputed company coding guidelines, policies, and regulatory 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 • Coding certification such as reputed company, CPC, or CPMA required. • At least 1 year of medical coding, claims review, billing compliance, or reputed company reputed company reimbursement experience. • Familiarity with Indiana reputed company policies, payer guidelines, and documentation requirements preferred. • Candidate located in or near the Indianapolis area preferred. • 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 strongly preferred. • Knowledge of reputed company claims data and fraud, waste, and abuse preferred. Apply To This Job