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Commission Medical Coder Auditor Jobs in Indiana

Hearst

Medical Coder Specialist

Carmel, IN · On-site

Experience assigning or auditing HCPCS Level II code sections, including A-codes, C-codes, or E-codes. * Experience reviewing or resolving Medicare and Medicaid claim denials involving medical ...

Hearst Health

Medical Coder Specialist

Carmel, IN · On-site

Experience assigning or auditing HCPCS Level II code sections, including A-codes, C-codes, or E-codes. * Experience reviewing or resolving Medicare and Medicaid claim denials involving medical ...

Hearst

Medical Coder Specialist

Carmel, IN · On-site

Experience assigning or auditing HCPCS Level II code sections, including A-codes, C-codes, or E-codes. * Experience reviewing or resolving Medicare and Medicaid claim denials involving medical ...

First Databank

Medical Coder Specialist

Carmel, IN · On-site

Experience assigning or auditing HCPCS Level II code sections, including A-codes, C-codes, or E-codes. * Experience reviewing or resolving Medicare and Medicaid claim denials involving medical ...

Hearst

Medical Coder Specialist

Indianapolis, IN · On-site

Experience assigning or auditing HCPCS Level II code sections, including A-codes, C-codes, or E-codes. * Experience reviewing or resolving Medicare and Medicaid claim denials involving medical ...

Hearst

Medical Coder Specialist

Carmel, IN · On-site

Experience assigning or auditing HCPCS Level II code sections, including A-codes, C-codes, or E-codes. * Experience reviewing or resolving Medicare and Medicaid claim denials involving medical ...

Hearst

Medical Coder Specialist

Carmel, IN · On-site

Experience assigning or auditing HCPCS Level II code sections, including A-codes, C-codes, or E-codes. * Experience reviewing or resolving Medicare and Medicaid claim denials involving medical ...

Huron Consulting Group

$26.44 - $52.40/hr

The Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing of ... all medical records. Demonstrates knowledge of current, compliant coder query practices when ...

New

Truman Medical Centers

Mon-Fri) 101 Truman Medical Center Job Location Crown Center Kansas City, Missouri Department Audit ... Coding Auditor and Educator is responsible for ensuring accurate, compliant, and optimized ...

DaMar Staffing

Coder - Certified (BMG)

South Bend, IN · On-site

$65 - $90/hr

Auditing reports as necessary to identify and correct coding related errors. * Achieving BMG ... Graduate of an accredited medical coding program preferred. Two years physician coding experience ...

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All JobsMedical Coder Auditor JobsCommission Medical Coder Auditor JobsCommission Medical Coder Auditor Jobs in Indiana

Commission Medical Coder Auditor information

What is a commission medical coder auditor?

Commission medical coder auditors are professionals who review and verify the accuracy of medical coding and billing within healthcare organizations, often on a commission or contract basis. Their main role is to ensure that medical procedures and diagnoses are coded correctly according to official guidelines and regulations. This helps prevent billing errors, reduces the risk of fraud, and ensures proper reimbursement for healthcare providers. Commission medical coder auditors may work independently or for third-party auditing firms and are typically compensated based on the number or value of audits completed.

What are the key skills and qualifications needed to thrive as a commission medical coder auditor?

To thrive as a Commission Medical Coder Auditor, you need in-depth knowledge of medical coding systems (such as ICD-10, CPT, and HCPCS), strong analytical abilities, and a certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems and specialized auditing software is typically required. Attention to detail, integrity, and effective communication are essential soft skills for reviewing records and ensuring compliance. These skills ensure accurate coding, minimize compliance risks, and support healthcare organizations in maintaining proper reimbursement and regulatory standards.

What are some of the main challenges commission medical coder auditors face when reviewing provider documentation?

Commission Medical Coder Auditors often encounter challenges such as inconsistent or incomplete clinical documentation, which can make it difficult to accurately assign codes and ensure compliance. They must be adept at interpreting complex medical records and communicating effectively with providers to clarify discrepancies or request additional information. Additionally, staying up-to-date with evolving coding guidelines and payer requirements is crucial to minimize errors and support accurate reimbursement. These challenges require strong attention to detail, analytical skills, and ongoing education.

What is the difference between Commission Medical Coder Auditor vs Medical Coder?

AspectCommission Medical Coder AuditorMedical Coder
CertificationsAHIMA or AAPC certifications, coding credentialsSame certifications as auditor
Work EnvironmentAuditing, reviewing coding accuracy, complianceAssigning codes, data entry, documentation review
Employer & IndustryHospitals, insurance companies, healthcare providersHospitals, clinics, healthcare organizations

The main difference is that a Commission Medical Coder Auditor focuses on reviewing and ensuring coding accuracy and compliance, while a Medical Coder primarily assigns codes to medical records. Both roles require similar certifications and work in healthcare settings, but auditors have a specialized focus on quality control and regulatory adherence.

How do you become a commission medical coder auditor?

To become a medical coder auditor, you typically need to have a certified medical coding credential such as CPC or CCS, along with experience in medical coding. Additional training in auditing procedures and familiarity with coding guidelines and compliance standards are also important for this role.

What cities in Indiana are hiring for Commission Medical Coder Auditor jobs?

Cities in Indiana with the most Commission Medical Coder Auditor job openings:

Commission Medical Coder Auditor jobs near you
Infographic showing various Commission Medical Coder Auditor job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, and 5% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution.

Medical Coder Audit Specialist

Briljent

Indianapolis, IN • On-site, Remote

Full-time

Re-posted 29 days ago

Job description

Love digging into data, solving puzzles, and ensuring accuracy? Briljent is seeking a detail-oriented Certified Medical Coder - Audit Specialist to help improve coding accuracy, strengthen billing compliance, and support the integrity of Indiana Medicaid programs.
In this role, you'll apply your coding expertise, auditing skills, and advanced Microsoft Excel knowledge to review medical records, identify discrepancies, analyze claims data, and help ensure compliance with state and federal regulations. If you enjoy investigative work, analyzing trends, and translating complex findings into clear reports, this opportunity is for you.
This is a remote position with occasional travel within Indiana. Indiana residents are strongly encouraged to apply.
Why You'll Love This Role
  • Make a meaningful impact on the integrity of healthcare programs serving Hoosiers.
  • Use your analytical and auditing skills to uncover findings and improve compliance.
  • Leverage advanced Microsoft Excel capabilities to organize, analyze, and report data.
  • Work alongside experienced healthcare, compliance, and auditing professionals.
  • Stay engaged with evolving coding standards, regulations, and industry best practices.

What You'll Do
Conduct Coding Audits & Compliance Reviews
  • 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.

Analyze Data & Report Findings
  • Utilize Microsoft Excel to organize, analyze, and validate audit results and claims data.
  • Prepare audit reports, summaries, and supporting documentation for internal and external stakeholders.
  • Identify patterns and trends that may indicate billing errors, documentation concerns, or opportunities for process improvement.
  • Support appeal reviews and audit response activities as needed.

Stay Current & Support Continuous Improvement
  • Research and interpret Indiana Medicaid policies, bulletins, and reimbursement requirements.
  • Maintain internal repositories of coding guidance, regulatory updates, and audit resources.
  • Stay current on CPT, HCPCS, ICD-10-CM, Medicaid coding guidance, and reimbursement methodologies.
  • Adapt quickly to changing regulations, priorities, and audit requirements while maintaining accuracy and quality.

Requirements
What We're Looking For
Required 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.
  • Strong analytical thinking, problem-solving, and technical writing skills.
  • Ability to work independently while managing multiple priorities in a fast-paced environment.
Preferred Qualifications
  • Additional certifications related to auditing, compliance, healthcare revenue cycle, or advanced Microsoft Excel are highly valued.
  • Experience performing coding audits or healthcare compliance reviews.
  • Knowledge of Indiana Medicaid policies, payer guidelines, and documentation requirements.
  • Experience working directly with healthcare providers and clinical documentation.
  • Knowledge of healthcare claims data analysis and fraud, waste, and abuse detection.
  • Residence in or near the Indianapolis area.

Physical Requirements & Environmental Conditions: An employee must meet these physical demands to successfully perform the essential functions of this job. Employee is regularly required to talk or hear, sit, and utilize technology tools such as a laptop computer for extended periods of time. Specific vision abilities include close vision and the ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes diversity and inclusion are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance.

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