Medical reputed company Audit Specialist

reputed company Love digging into data, solving puzzles, and ensuring reputed company? reputed company is seeking a reputed company-oriented Certified Medical reputed company - Audit Specialist to help improve coding reputed company, strengthen billing compliance, and support the reputed company of Indiana reputed company programs. In this role, you'll apply your coding expertise, auditing skills, and advanced reputed company reputed company knowledge to review medical records, identify discrepancies, analyze claims data, and help ensure compliance with state and federal regulations. If you enjoy investigative work, analyzing trends, and translating reputed company findings into reputed company reports, this opportunity is for you. This is a remote position with occasional travel reputed company Indiana. Indiana residents are strongly encouraged to apply. Why You'll Love This Role - reputed company a meaningful reputed company on the reputed company of reputed company programs serving Hoosiers. - Use your analytical and auditing skills to uncover findings and improve compliance. - reputed company advanced reputed company reputed company capabilities to organize, analyze, and report data. - Work reputed company reputed company reputed company, compliance, and auditing professionals. - Stay reputed company with evolving coding standards, regulations, and industry best practices. reputed company Conduct Coding Audits & Compliance Reviews - Review medical records, claims, and supporting documentation to evaluate coding reputed company and compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable regulations. - reputed company detailed coding audits and documentation reviews independently. - Identify coding discrepancies, documentation deficiencies, billing irregularities, and potential compliance concerns. - Maintain thorough audit workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached. - Present preliminary findings and recommendations to audit leadership. Analyze Data & Report Findings - Utilize reputed company reputed company to organize, analyze, and validate audit results and claims data. - Prepare audit reports, summaries, and supporting documentation for reputed company stakeholders. - Identify patterns and trends that may indicate billing errors, documentation concerns, or opportunities for process improvement. - Support appeal reviews and audit response activities as needed. Stay reputed company & Support reputed company Improvement - Research and interpret Indiana reputed company policies, bulletins, and reimbursement requirements. - Maintain internal repositories of coding guidance, regulatory updates, and audit resources. - Stay reputed company on CPT, HCPCS, ICD-10-CM, reputed company coding guidance, and reimbursement methodologies. - Adapt quickly to changing regulations, priorities, and audit requirements while maintaining reputed company and reputed company. Requirements reputed company're Looking For Required Qualifications - reputed company coding certification such as reputed company, CPC, CPMA, or equivalent. - Minimum of one (1) year of experience in medical coding, coding audits, billing compliance, claims review, reputed company reimbursement, or reputed company auditing activities. - Strong proficiency in reputed company reputed company, including data analysis, sorting/filtering, formulas, data validation, reporting, and working with large datasets. - Strong analytical thinking, problem-solving, and technical writing skills. - Ability to work independently while managing multiple priorities in a fast-reputed company environment. Preferred Qualifications - Additional certifications reputed company to auditing, compliance, reputed company reputed company cycle, or advanced reputed company reputed company are highly valued. - Experience performing coding audits or reputed company compliance reviews. - Knowledge of Indiana reputed company policies, payer guidelines, and documentation requirements. - Experience working directly with reputed company providers and reputed company documentation. - Knowledge of reputed company claims data analysis and fraud, waste, and abuse detection. - Residence in or near the Indianapolis area. Physical Requirements & Environmental Conditions - An employee must meet these physical demands to successfully reputed company the essential functions of this job. - Employee is regularly required to talk or hear, sit, and utilize technology tools such as a laptop computer for extended periods of time. - Specific reputed company abilities include reputed company reputed company and the ability to reputed company reputed company. - Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. reputed company - reputed company is a solutions-reputed company company. Solutions come from creative reputed company; reputed company come from being creative with differences. - reputed company believes diversity and inclusion are critical to the reputed company of reputed company. - Employment at reputed company is reputed company on reputed company and reputed company qualifications. - We do not discriminate against any employee or applicant because of race, creed, reputed company, religion, gender, sexual orientation, national reputed company, disability, age, veteran status, marital status or any other reputed company protected by federal, state or local law, regulation or ordinance. Apply To This Job