Medical Record Audit Specialist

RADcube; Indianapolis (IN); Hybrid; USD 65,000 - 95,000; Full time

Job summary

RADcube, a Carmel-based technology firm, seeks a Certified Medical Coder/Medical Record Audit Specialist focused on Behavioral Health to support a state Medicaid engagement. This remote role includes occasional travel to Downtown Indianapolis, IN (expenses covered).

You will audit records, identify issues, and prepare work-papers and reports in line with CMS, AHIMA, and Indiana Medicaid standards.

Active CCS/CPC/CPMA certification and 2–3 years in medical coding or audits are required.

Qualifications

• Active coding certification: CCS, CPC, or CPMA.
• 2–3 years of hands-on medical coding, claims review, or audit experience.
• Significant experience coding Behavioral Health, Mental Health, or Psychiatric encounters.
• Hands-on proficiency with ICD-10-CM, CPT, and HCPCS coding systems.
• Experience conducting medical record audits, claims reviews, or supporting appeals.
• Comfortable completing a timed Excel proficiency assessment.

Responsibilities

• Review medical records and related documentation to assess coding accuracy and compliance.
• Conduct coding and documentation reviews independently and report findings to Lead Reviewer.
• Identify coding discrepancies, documentation deficiencies, and billing issues.
• Maintain detailed work-papers documenting procedures and conclusions.
• Assist with audit responses and appeals as needed.
• Ensure all work aligns with state and federal coding and reimbursement guidelines.
• Stay current on CPT, HCPCS, ICD-10-CM, and Medicaid coding guidelines and updates.
• Research Indiana Medicaid rules and maintain internal policy repositories.

Skills

Medical coding

Auditing

Behavioral health coding

ICD-10-CM

CPT coding

HCPCS coding

Excel

Tools

Epic Systems

Cerner

3M Encoder

Job description

Founded in 2015, RADcube is a leading technology consulting and software development firm headquartered in Carmel, Indiana. The company specializes in transforming enterprise ideas into real-world innovations by leveraging emerging technologies such as Artificial Intelligence, Blockchain, and Cloud Computing.

With nearly a decade of industry experience, RADcube serves diverse sectors, including healthcare, finance, government, and manufacturing. Their core service portfolio includes:

• Digital Transformation and strategy consulting.
• Custom Software Development tailored to specific business needs.
• Advanced Data Analytics and AI-driven platforms.
• Cybersecurity and risk management.

Recognized for its innovation-led culture, RADcube operates RADlabs, an R&D hub focused on high-impact solutions like Responsible AI and Intelligent Automation. The firm is committed to a human-centric approach, ensuring cutting-edge technology delivers measurable business outcomes and long-term success for global clients.

The company’s commitment to innovation has earned significant industry honors:

• 2026 TechPoint Mira Awards Finalist: Named a finalist for Tech Company of the Year, recognizing high-growth pioneers that demonstrate extraordinary leadership.
• Public Sector Excellence: Awarded the Utah NASPO Cloud & Software Solutions Contract, solidifying their role as a trusted partner for large-scale government digital initiatives and more.

Job Description

This is a remote position.

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 work-papers and reports in alignment with CMS, AHIMA, and Indiana Medicaid standards.

Key Responsibilities

Reviewmedicalrecords 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 work-papers 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

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

Significant experience coding Behavioral Health, Mental Health, or Psychiatric encounters

Hands‑on proficiency with ICD-10-CM, CPT, and HCPCS coding systems

Experience conducting medical record audits, claims reviews, or supporting appeals

Comfortable completing a timed Excel proficiency assessment (sorting, filtering, VLOOKUP, conditional formatting), required by the client prior to submission

Preferred Qualifications

Familiarity with Indiana Medicaid (IHCP) policies and payer guidelines

Knowledge of CMS regulations and AHIMA Standards of Ethical Coding

Experience with Epic, Cerner, 3M Encoder, or similar EHR and encoder platforms

Prior experience specifically supporting Medicaid audit or compliance functions.