[Hiring] Medical Coder - Audit Specialist @Briljent

Role Description

Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role is responsible for:

• Reviewing medical records and claims-related documentation for coding accuracy.
• Identifying billing and compliance issues.
• Preparing audit documentation and reports.
• 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 within Indiana.

Qualifications

• Coding certification such as CCS, CPC, or CPMA required.
• At least 1 year of medical coding, claims review, billing compliance, or related healthcare reimbursement experience.
• Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred.
• Candidate located in or near the Indianapolis area preferred.
• Proficiency in Microsoft Excel, Word, and Outlook.
• Strong analytical, critical thinking, problem-solving, and technical writing skills.
• Ability to work independently and collaboratively in a fast-paced environment.
• Experience working with healthcare providers strongly preferred.
• Knowledge of healthcare claims data and fraud, waste, and abuse preferred.

Requirements

• 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.

Company Description

Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes diversity and inclusion are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance.