[Hiring] Medical Coder Audit Specialist @Briljent

Role Description

Love digging into data, solving puzzles, and ensuring accuracy? Briljent is seeking a detail-oriented Certified Medical Coder - Audit Specialist to help improve coding accuracy, strengthen billing compliance, and support the integrity of Indiana Medicaid programs.

In this role, you'll apply your coding expertise, auditing skills, and advanced Microsoft Excel knowledge to:

• Review medical records, identify discrepancies, analyze claims data, and help ensure compliance with state and federal regulations.
• Conduct coding audits and compliance reviews.
• Utilize Microsoft Excel to organize, analyze, and validate audit results and claims data.
• Research and interpret Indiana Medicaid policies, bulletins, and reimbursement requirements.

This is a remote position with occasional travel within Indiana. Indiana residents are strongly encouraged to apply.

Qualifications

• Current coding certification such as CCS, CPC, CPMA, or equivalent.
• Minimum of one (1) year of experience in medical coding, coding audits, billing compliance, claims review, healthcare reimbursement, or related auditing activities.
• Strong proficiency in Microsoft Excel, 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-paced environment.

Requirements

• Additional certifications related to auditing, compliance, healthcare revenue cycle, or advanced Microsoft Excel are highly valued.
• Experience performing coding audits or healthcare compliance reviews.
• Knowledge of Indiana Medicaid policies, payer guidelines, and documentation requirements.
• Experience working directly with healthcare providers and clinical documentation.
• Knowledge of healthcare claims data analysis and fraud, waste, and abuse detection.
• Residence in or near the Indianapolis area.

Benefits

• Make a meaningful impact on the integrity of healthcare programs serving Hoosiers.
• Use your analytical and auditing skills to uncover findings and improve compliance.
• Leverage advanced Microsoft Excel capabilities to organize, analyze, and report data.
• Work alongside experienced healthcare, compliance, and auditing professionals.
• Stay engaged with evolving coding standards, regulations, and industry best practices.