ZipRecruiter

Log In

2

Remote Medicaid Audit Jobs (NOW HIRING)

RADcube

Be Seen First

Medical Record Audit Specialist - BH

Indianapolis, IN · Remote

$50K - $65K/yr

Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered) Job Summary ... Research Indiana Medicaid rules and maintain internal repositories of bulletins, policies, and ...

New

BerryDunn

Medicaid Payment Integrity SME

Kapolei, HI · On-site +1

You will manage forensic review, investigative, and claims audit activities related to Medicaid ... This position offers flexibility in work location, including fully onsite, hybrid, or remote ...

BerryDunn

Medicaid Payment Integrity SME

Kapolei, HI · On-site +1

You will manage forensic review, investigative, and claims audit activities related to Medicaid ... This position offers flexibility in work location, including fully onsite, hybrid, or remote ...

BerryDunn

Medicaid Payment Integrity SME

You will manage forensic review, investigative, and claims audit activities related to Medicaid ... This position offers flexibility in work location, including fully onsite, hybrid, or remote ...

BerryDunn

Medicaid Payment Integrity SME

Kapolei, HI · On-site +1

You will manage forensic review, investigative, and claims audit activities related to Medicaid ... This position offers flexibility in work location, including fully onsite, hybrid, or remote ...

The State of Arizona

Audit Manager

$100K - $110K/yr

REMOTE OPTIONS, PHOENIX Categories: Accounting/Auditing, Healthcare/Medical Support Level, Judicial ... AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards ...

BerryDunn

Medicaid Program Integrity Senior Consultant

$118K - $119K/yr

You will perform claims audits, document findings, and conduct forensic reviews and investigations ... This position offers flexibility in work location, including fully onsite, hybrid, or remote ...

Geisinger

Medical Director Medicaid

Location: Pennsylvania (onsite/hybrid/remote with periodic in state travel) Reports to: Chief ... Health rules; support surveys, audits, and reporting. * Drive quality improvement (e.g ...

Humana

Lead, Medicaid Technology

Position Overview This role has a hybrid remote workstyle which will require you to work 3 days a ... audit file processing). * Implement contingency plans and communicate status to executive ...

next page

Showing results 1-20

All Jobsremote JobsHealthcare JobsHospital JobsMedical Biller JobsRemote Medicaid Audit Jobs

Remote Medicaid Audit information

See salary details

$30.5K

$72.6K

$117.5K

How much do remote medicaid audit jobs pay per year?

As of Aug 24, 2026, the average yearly pay for remote medicaid audit in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What is a remote Medicaid audit?

A Remote Medicaid Audit is a review process conducted by auditors who evaluate Medicaid claims and documentation without being physically present at the healthcare facility. These audits are performed virtually, using electronic records and digital communication tools to ensure that providers comply with Medicaid regulations and identify any improper payments or billing errors. Remote audits help maintain program integrity and are often more efficient, reducing the need for on-site visits while still ensuring accuracy and compliance.

What skills and qualifications are needed to thrive as a remote Medicaid auditor?

To thrive as a Remote Medicaid Auditor, you need a strong background in accounting, healthcare compliance, and Medicaid regulations, often supported by a degree in accounting or healthcare administration. Familiarity with audit software, electronic health records (EHRs), and data analysis tools is typically required, as well as relevant certifications like Certified Internal Auditor (CIA) or Certified Medical Auditor (CMA). Detail orientation, strong analytical thinking, and effective written communication are crucial soft skills for reviewing complex records and reporting findings remotely. These skills ensure accurate, compliant audits that help prevent fraud, reduce errors, and maintain the integrity of Medicaid programs.

What are common challenges faced by professionals in a remote Medicaid audit role, and how can they be addressed?

One of the main challenges in a Remote Medicaid Audit position is maintaining effective communication and collaboration with healthcare providers and internal audit teams when working off-site. Additionally, auditors must stay updated on frequently changing Medicaid regulations across different states. To address these challenges, it's important to leverage secure digital tools for document sharing, schedule regular virtual meetings, and participate in ongoing training to stay compliant with current guidelines. Effective time management and attention to detail are also critical for meeting deadlines and ensuring accurate audit results.

What is the difference between Remote Medicaid Audit vs Remote Medicaid Claims Reviewer?

AspectRemote Medicaid AuditRemote Medicaid Claims Reviewer
CertificationsCPA, CPA, or auditing credentials often preferredMedical billing or coding certifications (e.g., CPC, CCS)
Work EnvironmentAudit firms, healthcare agencies, government officesHealthcare providers, insurance companies, government agencies
Job FocusReviewing financial records, compliance, and audit reportsReviewing claims for accuracy, coding, and eligibility
Common Search IntentAuditing Medicaid programs, compliance, financial reviewClaims processing, billing accuracy, reimbursement issues

Remote Medicaid Audit professionals focus on financial and compliance audits of Medicaid programs, requiring auditing credentials. In contrast, Remote Medicaid Claims Reviewers concentrate on verifying claims for accuracy and proper coding, often with medical billing certifications. Both roles are essential in the Medicaid industry but differ in their primary responsibilities and work environments.

More about Remote Medicaid Audit jobs

What cities are hiring for Remote Medicaid Audit jobs?

Cities with the most Remote Medicaid Audit job openings:

What are the most commonly searched types of Medicaid Audit jobs?

The most popular types of Medicaid Audit jobs are:

What states have the most Remote Medicaid Audit jobs?

States with the most job openings for Remote Medicaid Audit jobs include:

What job categories do people searching Remote Medicaid Audit jobs look for?

The top searched job categories for Remote Medicaid Audit jobs are:

Remote Medicaid Audit jobs near you
Infographic showing various Remote Medicaid Audit job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 92% Full Time, 5% Part Time, and 2% Contract. Highlights an 84% Physical, 7% Hybrid, and 9% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Medical Record Audit Specialist - BH

Indianapolis, IN • Remote

RADcube
Custom Software Development Services • 201 - 500 employees
Learn more about RADcubeexternal

$50K - $65K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 3 days ago

New

Be Seen First

After you apply to this job, you can share why you’re interested to jump to the top of the candidate list.

Job description

Certified Medical Coder/Medical Record Audit Specialist - Behavioral Health

Location: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)


Job Summary: 

We are seeking a Certified Medical Coder/Medical Record Audit Specialist with strong Behavioral Health coding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance, identifying billing and documentation issues, and preparing audit workpapers and reports in alignment with CMS, AHIMA, and Indiana Medicaid standards.


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.


Required Qualifications: 

  • Active coding certification: CCS (AHIMA), CPC (AAPC), or CPMA (AAPC). 
  • Minimum 2-3 years of hands-on medical coding, claims review, or audit experience
  • Significant experience coding Behavioral Health, Mental Health, or Psychiatric encounters
  • Hands-on proficiency with ICD-10-CM, CPT, and HCPCS coding systems
  • Experience conducting medical record audits, claims reviews, or supporting appeals
  • Comfortable completing a timed Excel proficiency assessment (sorting, filtering, VLOOKUP, conditional formatting), required by the client prior to submission


Preferred Qualifications

  • Familiarity with Indiana Medicaid (IHCP) policies and payer guidelines
  • Knowledge of CMS regulations and AHIMA Standards of Ethical Coding
  • Experience with Epic, Cerner, 3M Encoder, or similar EHR and encoder platforms
  • Prior experience specifically supporting Medicaid audit or compliance functions

Company Description

RADcube is a data services and AI enablement company providing innovative and hands on support to clients through their technological transformation journey. We provide 360° development, support and security solutions backed by world-class expertise and precise execution. We specialize in niche technology solutions and innovative software using the latest technologies. We partner with AWS, Microsoft, Salesforce, MuleSoft, UIPath, Azure, Automation Anywhere and many more.

Recognized for its innovation-led culture, RADcube operates RADlabs, an R&D hub focused on high-impact solutions like Responsible AI and Intelligent Automation. The firm is committed to a human-centric approach, ensuring cutting-edge technology delivers measurable business outcomes and long-term success for global clients.

The company’s commitment to innovation has earned significant industry honors:

2026 TechPoint Mira Awards Finalist: Named a finalist for Tech Company of the Year, recognizing high-growth pioneers that demonstrate extraordinary leadership.

Public Sector Excellence: Awarded the Utah NASPO Cloud & Software Solutions Contract, solidifying their role as a trusted partner for large-scale government digital initiatives and more.