This is a remote position with occasional travel required within Indiana. Key Responsibilities ... Knowledge of healthcare claims data and fraud, waste, and abuse preferred. Physical Requirements ...
This is a remote position with occasional travel required within Indiana. Key Responsibilities ... Knowledge of healthcare claims data and fraud, waste, and abuse preferred. Physical Requirements ...
Unemployment Insurance Auditor
Indianapolis, IN · On-site +1
$47K/yr
Performing extensive research, data analysis, and investigation regarding an employer or assigned ... Remote work authorization is not automatic and is dependent upon operational needs and agency ...
Unemployment Insurance Auditor
Indianapolis, IN · On-site +1
$47K/yr
Performing extensive research, data analysis, and investigation regarding an employer or assigned ... Remote work authorization is not automatic and is dependent upon operational needs and agency ...
Senior Accountant
Indianapolis, IN · Remote
$70K - $88K/yr
Senior Accountant Fully Remote $100,000 to $110,000 depending on experience A fast‑growing fully ... Contribute to ERP and data transformation projects * Prepare financial statements and supporting ...
Senior Accountant
Indianapolis, IN · Remote
$70K - $88K/yr
Senior Accountant Fully Remote $100,000 to $110,000 depending on experience A fast‑growing fully ... Contribute to ERP and data transformation projects * Prepare financial statements and supporting ...
Certified Medical Assistant - Clinical Quality Specialist
Indianapolis, IN · On-site +1
$35 - $46.50/hr
Not open to remote, qualified candidates must reside in Indianapolis, IN The Clinical Quality ... Collaborate with Clinical Quality Nurse and internal data analyst to oversee HEDIS quality gap ...
Certified Medical Assistant - Clinical Quality Specialist
Indianapolis, IN · On-site +1
$35 - $46.50/hr
Not open to remote, qualified candidates must reside in Indianapolis, IN The Clinical Quality ... Collaborate with Clinical Quality Nurse and internal data analyst to oversee HEDIS quality gap ...
Coder Specialist - Remote
Granger, IN · On-site +1
Reviews, codes, and analyzes medical records in order to abstract relevant data from patient ... Quarterly internal and external auditing. * Reviewing Coding Clinic and attending coding workshops ...
Coder Specialist - Remote
Granger, IN · On-site +1
Reviews, codes, and analyzes medical records in order to abstract relevant data from patient ... Quarterly internal and external auditing. * Reviewing Coding Clinic and attending coding workshops ...
This role is primarily focused on data reconciliation across invoices, inventory, budgets, auditing ... remote teams and cross-functional stakeholders Experience with Excel, Smartsheet, Salesforce ...
This role is primarily focused on data reconciliation across invoices, inventory, budgets, auditing ... remote teams and cross-functional stakeholders Experience with Excel, Smartsheet, Salesforce ...
... ON REMOTE WORK OPTION; 5 days per week; 8:00a-4:30p; Mon-Fri) 101 Truman Medical Center Job ... Experience in audit reporting, report design, and data presentation
... ON REMOTE WORK OPTION; 5 days per week; 8:00a-4:30p; Mon-Fri) 101 Truman Medical Center Job ... Experience in audit reporting, report design, and data presentation
Process checks thru the remote deposit system. Enter accurate accounting entries into the Encompass ... Knowledge of bookkeeping and auditing. Ability to acquire knowledge of Department functions and ...
Quick apply
Process checks thru the remote deposit system. Enter accurate accounting entries into the Encompass ... Knowledge of bookkeeping and auditing. Ability to acquire knowledge of Department functions and ...
RCS Quality Expert CC
Indianapolis, IN · On-site +1
$17.25 - $23.25/hr
Flexible M-F Remote/Hybrid - Majority remote; on-site for quarterly meetings This position exists ... data has on hospital reporting. This position will also be very involved in various quality ...
RCS Quality Expert CC
Indianapolis, IN · On-site +1
$17.25 - $23.25/hr
Flexible M-F Remote/Hybrid - Majority remote; on-site for quarterly meetings This position exists ... data has on hospital reporting. This position will also be very involved in various quality ...
Premium Coordinator (Remote) - Fort Wayne, IN, or San Francisco, CA
Indianapolis, IN · On-site +1
$31.50 - $40.74/hr
... auditing, billing, claims, membership, or finance. * 2-3 years of experience in insurance ... Ability to compile information, perform research and analyze data * Strong customer service and ...
Premium Coordinator (Remote) - Fort Wayne, IN, or San Francisco, CA
Indianapolis, IN · On-site +1
$31.50 - $40.74/hr
... auditing, billing, claims, membership, or finance. * 2-3 years of experience in insurance ... Ability to compile information, perform research and analyze data * Strong customer service and ...
Premium Coordinator (Remote) - Fort Wayne, IN, or San Francisco, CA
Fort Wayne, IN · On-site +1
$31.50 - $40.74/hr
... auditing, billing, claims, membership, or finance. * 2-3 years of experience in insurance ... Ability to compile information, perform research and analyze data * Strong customer service and ...
Premium Coordinator (Remote) - Fort Wayne, IN, or San Francisco, CA
Fort Wayne, IN · On-site +1
$31.50 - $40.74/hr
... auditing, billing, claims, membership, or finance. * 2-3 years of experience in insurance ... Ability to compile information, perform research and analyze data * Strong customer service and ...
SUPERVISORY ACCOUNTANT
Indianapolis, IN · On-site +1
$125K - $170K/yr
... data, supporting accounting operations, and/or receiving accounting products and services ... Please note, this is NOT a 100% virtual/remote position where work may be performed from any ...
SUPERVISORY ACCOUNTANT
Indianapolis, IN · On-site +1
$125K - $170K/yr
... data, supporting accounting operations, and/or receiving accounting products and services ... Please note, this is NOT a 100% virtual/remote position where work may be performed from any ...
$17.75 - $23.75/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
$17.75 - $23.75/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Valparaiso, IN · On-site +1
$18.75 - $25/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Valparaiso, IN · On-site +1
$18.75 - $25/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Valparaiso, IN · On-site +1
$18.75 - $25/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Valparaiso, IN · On-site +1
$18.75 - $25/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Valparaiso, IN · On-site +1
$18.75 - $25/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Valparaiso, IN · On-site +1
$18.75 - $25/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
$17.75 - $23.75/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
$17.75 - $23.75/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
$17.75 - $23.75/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
$17.75 - $23.75/hr
... or auditing in a healthcare setting experience * Proficiency with data analytics tools (such as ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Temporary National Service Coordinator
South Bend, IN · On-site +1
$45K - $55K/yr
Remote, Monday - Friday 8:00am-5:00pm Assignment Duration: Up to 90 days Who We Are: Peoplelink ... data accuracy across systems. • Coordinate candidate lifecycle activities such as submittals ...
Temporary National Service Coordinator
South Bend, IN · On-site +1
$45K - $55K/yr
Remote, Monday - Friday 8:00am-5:00pm Assignment Duration: Up to 90 days Who We Are: Peoplelink ... data accuracy across systems. • Coordinate candidate lifecycle activities such as submittals ...
Remote, Northern Europe About the role We are looking for an Employee Relations Specialist to join ... Monitor and analyse employee relations trends and case data to identify opportunities for ...
Remote, Northern Europe About the role We are looking for an Employee Relations Specialist to join ... Monitor and analyse employee relations trends and case data to identify opportunities for ...
Remote Data Auditor information
What is the difference between Remote Data Auditor vs Remote Data Analyst?
| Aspect | Remote Data Auditor | Remote Data Analyst |
|---|---|---|
| Required Credentials | Certifications in auditing, data quality, or compliance (e.g., CDMP, CISA) | Certifications in data analysis or statistics (e.g., CAP, Microsoft Data Analyst) |
| Work Environment | Focus on data accuracy, compliance audits, and validation processes | Focus on data interpretation, reporting, and insights generation |
| Employer & Industry Usage | Used in finance, healthcare, and compliance sectors for data integrity | Used across various industries for business intelligence and decision-making |
Remote Data Auditors primarily focus on verifying data accuracy and compliance, often requiring auditing certifications. Remote Data Analysts interpret data to provide insights, typically holding analysis certifications. While both roles work remotely and handle data, their core responsibilities and certifications differ, catering to distinct organizational needs.
What are the key skills and qualifications needed to thrive as a Remote Data Auditor, and why are they important?
What are some common challenges Remote Data Auditors face and how can they overcome them?
What is a Remote Data Auditor?
Job description
Description
We are seeking a detail-oriented Clinical Auditor Registered Nurse to support medical record reviews, billing compliance audits for the Indiana Health Coverage Programs. This role is responsible for evaluating quality of care, reviewing medical records and program policies and identifying compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings clinical knowledge, regulatory awareness, and strong analytical and writing skills. This is a remote position with occasional travel required within Indiana.
Key Responsibilities
- Review medical records and related documentation to evaluate provider compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations.
- Conduct medical record and compliance reviews independently and provide preliminary findings to the Lead Reviewer.
- Identify potential 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 healthcare and Medicaid guidelines.
- Stay current on clinical guidelines, policies, regulations, and Indiana Medicaid program and policy 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
- RN license preferred; Indiana license or compact license accepted.
- Coding certification such as CCS or CPC strongly preferred.
- Candidate located in or near the Indianapolis area is preferred.
- At least 1 year of Medicaid claims review, billing compliance, or healthcare reimbursement experience.
- Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred.
- Knowledge of CPT coding guidelines and ICD-10 standards.
- 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.
About Briljent
Sourced by ZipRecruiter
Industry
Business schools and computer and management training
Company size
51 - 200 Employees
Headquarters location
Fort Wayne, IN, US
Year founded
1998