Remote Behavioral Health Medical Coder & 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

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.