Remote Medical Coder Audit Specialist

Briljent; Indianapolis (IN); Remote; USD 60,000 - 90,000; Full time

Job summary

Briljent seeks a detail-oriented Certified Medical Coder - Audit Specialist to improve coding accuracy, strengthen billing compliance, and support Indiana Medicaid program integrity. You will review records, identify discrepancies, analyze claims data, and translate findings into clear reports.

This remote role involves occasional travel within Indiana. Applicants should have CCS/CPC/CPMA or equivalent certification, at least 1 year of related experience, and strong Excel skills.

Qualifications

• Current coding certification such as CCS, CPC, CPMA, or equivalent.
• Minimum of one (1) year of experience in medical coding, coding audits, billing compliance, claims review, healthcare reimbursement, or related auditing activities.
• Strong proficiency in Microsoft Excel, including data analysis, sorting/filtering, formulas, data validation, reporting, and working with large datasets.
• Ability to work independently while managing multiple priorities in a fast-paced environment.

Responsibilities

• Review medical records, claims, and supporting documentation to evaluate coding accuracy and compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable regulations.
• Perform detailed coding audits and documentation reviews independently.
• Identify coding discrepancies, documentation deficiencies, billing irregularities, and potential compliance concerns.
• Maintain thorough audit workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached.
• Present preliminary findings and recommendations to audit leadership.

Skills

Analytical thinking

Problem solving

Technical writing

Independence

Education

CCS

CPC

CPMA

Tools

Microsoft Excel

Job description

Briljent seeks a detail-oriented Certified Medical Coder - Audit Specialist to improve coding accuracy, strengthen billing compliance, and support Indiana Medicaid program integrity. You will review records, identify discrepancies, analyze claims data, and translate findings into clear reports.

This remote role involves occasional travel within Indiana. Applicants should have CCS/CPC/CPMA or equivalent certification, at least 1 year of related experience, and strong Excel skills.