Medical Coder – Audit Specialist

Briljent

Certified Medical Coder supporting coding accuracy and billing compliance for Indiana Medicaid programs. Reviewing medical records and claims-related documentation with an emphasis on accuracy and compliance.

Posted 5/8/2026full-timeIndianapolis • 🇺🇸 United StatesJuniorWebsite

About the role

Key responsibilities & impact

Review medical records and related 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 provide preliminary findings to the Lead 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 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

Requirements

What you’ll need

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

Benefits

Comp & perks

Employee is regularly required to talk or hear
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Briljent believes diversity and inclusion are critical to the success of the company

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical codingcoding accuracybilling complianceCPTHCPCSICD-10-CMclaims reviewhealthcare reimbursementdocumentation reviewaudit responses

Soft Skills

analytical skillscritical thinkingproblem-solvingtechnical writingindependencecollaborationadaptabilityattention to detailtime managementcommunication

Certifications

CCSCPCCPMA