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Remote Cpma Jobs in Indiana (NOW HIRING)

Remote Cpma information

What is the difference between Remote Cpma vs Remote Cpc?

AspectRemote CpmaRemote Cpc
CertificationsCPMA (Certified Professional Medical Auditor)CPC (Certified Professional Coder)
Work EnvironmentRemote medical auditing and complianceRemote medical coding and billing
Industry UsageHealthcare, insurance, auditingHealthcare, billing, coding services

Remote Cpma and Remote Cpc both require healthcare certifications and are often performed remotely. While Remote Cpma focuses on medical auditing and compliance, Remote Cpc specializes in medical coding and billing. Both roles are essential in healthcare administration, but they differ in daily tasks and certification focus.

How do Remote CPMA professionals typically coordinate with healthcare providers and coding teams to ensure compliance and accuracy?

Remote Certified Professional Medical Auditors (CPMAs) often rely on digital communication tools to collaborate with healthcare providers and coding teams. They regularly participate in virtual meetings, share audit findings via secure platforms, and provide feedback or training on documentation and coding practices. Effective communication and clear documentation are crucial, as remote CPMAs must resolve discrepancies and ensure compliance with regulatory standards from a distance. This role requires strong organizational skills and the ability to build productive professional relationships without in-person interaction.

What is a Remote CPA?

A Remote CPA is a Certified Public Accountant who performs accounting, tax, and financial services for clients from a remote location rather than working onsite. These professionals use digital tools to communicate, manage financial documents, and provide services such as tax preparation, auditing, and consulting. Working remotely allows CPAs to serve clients from various locations, offering flexibility and often reducing overhead costs. Remote CPAs must still adhere to the same professional standards and licensing requirements as traditional CPAs.

What are the key skills and qualifications needed to thrive as a Remote Certified Professional Medical Auditor (CPMA), and why are they important?

To excel as a Remote CPMA, you need comprehensive knowledge of medical coding, auditing standards, and healthcare regulations, typically validated by a CPMA certification. Familiarity with electronic health record (EHR) systems, medical billing software, and coding tools like ICD-10, CPT, and HCPCS is essential. Strong analytical skills, attention to detail, and effective written communication are vital soft skills for accurate auditing and reporting. These abilities ensure compliance, reduce errors, and help healthcare organizations maintain proper reimbursement and regulatory standards.
Medical Coder - Audit Specialist

Medical Coder - Audit Specialist

Briljent

Indianapolis, IN • Remote

Full-time

Posted 16 days ago


Job description

Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role is responsible for reviewing medical records and claims-related documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and writing skills. This is a remote position with occasional travel required within Indiana.

While this position is remote, Indiana residents encouraged to apply.

Key Responsibilities

  • Review medical records 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 workpapers 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

  • Coding certification such as CCS, CPC, or CPMA required. 
  • At least 1 year of medical coding, claims review, billing compliance, or related healthcare reimbursement experience.  
  • Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred.  
  • Candidate located in or near the Indianapolis area preferred.  
  • Proficiency in Microsoft Excel, Word, and Outlook.  
  • Strong analytical, critical thinking, problem-solving, and technical writing skills.  
  • Ability to work independently and collaboratively in a fast-paced environment.  
  • Experience working with healthcare providers strongly preferred.  
  • Knowledge of healthcare claims data and fraud, waste, and abuse preferred.

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.