Remote Certified Behavioral Health Medical Records Auditor

RADcube - A NLogix Company; Indianapolis (IN); Remote; USD 65,000 - 90,000; Full time

Job summary

RADcube is seeking a Certified Medical Coder/Medical Record Audit Specialist with strong Behavioral Health coding experience to support a state Medicaid program engagement. You will audit medical records and claims for coding accuracy and compliance, and prepare audit work-papers aligned with CMS, AHIMA, and Indiana Medicaid standards.

Remote role with occasional travel to Downtown Indianapolis, IN (expenses covered).

Qualifications

• Active coding certification CCS/CPC/CPMA.
• Minimum 2–3 years of medical coding, claims review, or audit experience.
• Significant Behavioral Health coding experience.
• Proficient with ICD-10-CM, CPT and HCPCS.
• Experience auditing medical records and supporting appeals.
• Excel proficiency assessment required by client.

Responsibilities

• Review medical records to assess coding accuracy and compliance with applicable standards.
• Conduct coding and documentation reviews independently; provide preliminary findings.
• Identify coding discrepancies and billing compliance issues.
• Maintain detailed work-papers of procedures, records, findings, and conclusions.
• Assist with audit responses and appeals as needed.
• Ensure work aligns with state, federal, and national guidelines.
• Stay current on CPT, HCPCS, ICD-10-CM and Medicaid coding guidelines.
• Research Indiana Medicaid rules and maintain policy repositories.

Skills

Medical coding

Behavioral Health coding

Auditing

CMS/AHIMA standards

Documentation review

Education

CCS (AHIMA)

CPC (AAPC)

CPMA (AAPC)

Tools

Excel

Epic

Cerner

3M Encoder

ICD-10-CM / CPT / HCPCS

Job description

RADcube is seeking a Certified Medical Coder/Medical Record Audit Specialist with strong Behavioral Health coding experience to support a state Medicaid program engagement. You will audit medical records and claims for coding accuracy and compliance, and prepare audit work-papers aligned with CMS, AHIMA, and Indiana Medicaid standards.

Remote role with occasional travel to Downtown Indianapolis, IN (expenses covered).