Medical Coder

RADCUBE | Rapid Technology Solutions; Indianapolis (IN); Remote; USD 60,000 - 90,000; Full time

Job summary

RADCUBE | Rapid Technology Solutions is seeking a Certified Medical Coder/Medical Record Audit Specialist with Behavioral Health coding experience. This fully remote role audits records and claims for correctness against CMS, AHIMA, and Indiana Medicaid standards, with occasional travel to Indianapolis for key reviews.

You will conduct independent reviews, prepare workpapers, and respond to audit requests, keeping up-to-date with CPT/HCPCS/ICD-10-CM guidelines and state regulations.

Qualifications

• Active coding certification: CCS (AHIMA), CPC (AAPC), or CPMA (AAPC).
• 2–3 years of hands-on medical coding, claims review, or audit experience.
• Behavioral Health coding experience.

Responsibilities

• 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.

Skills

Medical coding

Claims review

Auditing

Job description

Certified Medical Coder/Medical Record Audit Specialist - Behavioral Health

Location: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)

Job Summary:

We are seeking a Certified Medical Coder/Medical Record Audit Specialist with strong Behavioral Health coding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance, identifying billing and documentation issues, and preparing audit workpapers and reports in alignment with CMS, AHIMA, and Indiana Medicaid standards.

Key Responsibilities

• 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.

Required Qualifications

• Active coding certification: CCS (AHIMA), CPC (AAPC), or CPMA (AAPC).
• Minimum 2-3 years of hands-on medical coding, claims review, or audit experience.