... to support medical record reviews, billing compliance audits for the Indiana Health Coverage ... This is a remote position with occasional travel required within Indiana. Key Responsibilities
... to support medical record reviews, billing compliance audits for the Indiana Health Coverage ... This is a remote position with occasional travel required within Indiana. Key Responsibilities
... billing, credentialing, and marketing. Enjoy a 100% remote role where your only priority is ... A current, valid, and unrestricted state medical license. * Board Eligibility or Board ...
New
... billing, credentialing, and marketing. Enjoy a 100% remote role where your only priority is ... A current, valid, and unrestricted state medical license. * Board Eligibility or Board ...
New
Attorney Auditor
Indianapolis, IN · Remote
$70K - $75K/yr
This is a fully remote position, and candidates residing in any of the 50 United States are ... The auditor will apply client specified billing guidelines and/or Generally Accepted Principles and ...
Attorney Auditor
Indianapolis, IN · Remote
$70K - $75K/yr
This is a fully remote position, and candidates residing in any of the 50 United States are ... The auditor will apply client specified billing guidelines and/or Generally Accepted Principles 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 ... billing, collections, payment adjustments, auditing, denial management and medical record ...
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 ... billing, collections, payment adjustments, auditing, denial management and medical record ...
Remote This position exists to provide accurate and timely clinical data for billing and optimal ... Requires ability to read, understand and interpret medical records and other treatment ...
Remote This position exists to provide accurate and timely clinical data for billing and optimal ... Requires ability to read, understand and interpret medical records and other treatment ...
... empower medical professionals to provide better remote patient care. Our cloud platform, smart ... Comprehensive knowledge of Medicare reimbursement, relevant CPT codes, billing workflows, and value ...
... empower medical professionals to provide better remote patient care. Our cloud platform, smart ... Comprehensive knowledge of Medicare reimbursement, relevant CPT codes, billing workflows, and value ...
Provider Enrollment Analyst/Credentialing
Indianapolis, IN · On-site +1
$20.50/hr
... billing or medical reimbursement. Preferred Qualifications * Associate degree in business ... Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your ...
Provider Enrollment Analyst/Credentialing
Indianapolis, IN · On-site +1
$20.50/hr
... billing or medical reimbursement. Preferred Qualifications * Associate degree in business ... Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your ...
Remote Registered Dietitian or CNS - Flexible Hours, Work from Anywhere
Indianapolis, IN · On-site +1
$85/hr
Provide life-changing medical nutrition therapy via remote sessions to clients who fit your areas ... End-to-end, guaranteed billing: Don't worry about denials or unpaid claims * Access to EHR for ...
Remote Registered Dietitian or CNS - Flexible Hours, Work from Anywhere
Indianapolis, IN · On-site +1
$85/hr
Provide life-changing medical nutrition therapy via remote sessions to clients who fit your areas ... End-to-end, guaranteed billing: Don't worry about denials or unpaid claims * Access to EHR for ...
Remote Registered Dietitian or CNS - Flexible Hours, Work from Anywhere
Indianapolis, IN · Remote
$85/hr
Provide life-changing medical nutrition therapy via remote sessions to clients who fit your areas ... End-to-end, guaranteed billing: Don't worry about denials or unpaid claims * Access to EHR for ...
Remote Registered Dietitian or CNS - Flexible Hours, Work from Anywhere
Indianapolis, IN · Remote
$85/hr
Provide life-changing medical nutrition therapy via remote sessions to clients who fit your areas ... End-to-end, guaranteed billing: Don't worry about denials or unpaid claims * Access to EHR for ...
Remote Position: RCS - Clinical Specialist - PRN Shift: Monday - Friday 8a - 4:30p; up to 24 hours ... medical records, supporting compliance and optimal billing and coding activities. Demonstrating a ...
Remote Position: RCS - Clinical Specialist - PRN Shift: Monday - Friday 8a - 4:30p; up to 24 hours ... medical records, supporting compliance and optimal billing and coding activities. Demonstrating a ...
Director of Finance
Indianapolis, IN · On-site +1
Ensure bookings data reconciles across systems (e.g., CRM and billing platforms). * Administer the ... medical insurance coverages * Monthly Technology Stipend (Remote Employees) * Group-Life & AD&D ...
Director of Finance
Indianapolis, IN · On-site +1
Ensure bookings data reconciles across systems (e.g., CRM and billing platforms). * Administer the ... medical insurance coverages * Monthly Technology Stipend (Remote Employees) * Group-Life & AD&D ...
Director of Finance
Indianapolis, IN · On-site +1
Ensure bookings data reconciles across systems (e.g., CRM and billing platforms). * Administer the ... medical insurance coverages * Monthly Technology Stipend (Remote Employees) * Group-Life & AD&D ...
Director of Finance
Indianapolis, IN · On-site +1
Ensure bookings data reconciles across systems (e.g., CRM and billing platforms). * Administer the ... medical insurance coverages * Monthly Technology Stipend (Remote Employees) * Group-Life & AD&D ...
Legal Nurse
Marion, IN · Remote
We are seeking a Legal Nurse (Registered Nurse) to join our legal team in a fulltime, remote ... Review, summarize, and analyze pertinent medical records, including radiology reports and billing ...
Legal Nurse
Marion, IN · Remote
We are seeking a Legal Nurse (Registered Nurse) to join our legal team in a fulltime, remote ... Review, summarize, and analyze pertinent medical records, including radiology reports and billing ...
Part-Time Remote Licensed Pyschologist
Indianapolis, IN · On-site +1
$70 - $80/hr
... billing, support, EHR, audits, and compliance) so that you can focus on delivering great care for ... We are fully compliant with HIPAA and 42 CFR Part 2 and have a Medical Records team to handle all ...
Part-Time Remote Licensed Pyschologist
Indianapolis, IN · On-site +1
$70 - $80/hr
... billing, support, EHR, audits, and compliance) so that you can focus on delivering great care for ... We are fully compliant with HIPAA and 42 CFR Part 2 and have a Medical Records team to handle all ...
Band Level 3 Summary #LI-Remote This is a field-based and remote opportunity supporting key ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
New
Band Level 3 Summary #LI-Remote This is a field-based and remote opportunity supporting key ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
New
Neuroscience Territory Account Specialist - Indianapolis South, IN/Louisville (1 of 2)
Evansville, IN · Remote
$18 - $24.75/hr
Band Level 3 Summary #LI-Remote This is a field-based and remote opportunity supporting key ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
Neuroscience Territory Account Specialist - Indianapolis South, IN/Louisville (1 of 2)
Evansville, IN · Remote
$18 - $24.75/hr
Band Level 3 Summary #LI-Remote This is a field-based and remote opportunity supporting key ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
Neuroscience Territory Account Specialist - Indianapolis South, IN/Louisville (1 of 2)
Evansville, IN · Remote
$18 - $24.75/hr
Summary #LI-Remote This is a field-based and remote opportunity supporting key accounts in an ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
Neuroscience Territory Account Specialist - Indianapolis South, IN/Louisville (1 of 2)
Evansville, IN · Remote
$18 - $24.75/hr
Summary #LI-Remote This is a field-based and remote opportunity supporting key accounts in an ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
Neuroscience Territory Account Specialist - Indianapolis South, IN/Louisville (1 of 2)
Evansville, IN · Remote
$18 - $24.75/hr
Summary #LI-Remote This is a field-based and remote opportunity supporting key accounts in an ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
Neuroscience Territory Account Specialist - Indianapolis South, IN/Louisville (1 of 2)
Evansville, IN · Remote
$18 - $24.75/hr
Summary #LI-Remote This is a field-based and remote opportunity supporting key accounts in an ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
Neuroscience Territory Account Specialist - Indianapolis South, IN/Louisville (1 of 2)
Indianapolis, IN · Remote
$18.25 - $24.75/hr
Summary #LI-Remote This is a field-based and remote opportunity supporting key accounts in an ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
Neuroscience Territory Account Specialist - Indianapolis South, IN/Louisville (1 of 2)
Indianapolis, IN · Remote
$18.25 - $24.75/hr
Summary #LI-Remote This is a field-based and remote opportunity supporting key accounts in an ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
Rheumatology Territory Account Specialist - Indianapolis
Indianapolis, IN · Remote
$18.25 - $24.75/hr
Summary #LI-Remote This is a field-based and remote opportunity supporting key accounts in an ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
New
Rheumatology Territory Account Specialist - Indianapolis
Indianapolis, IN · Remote
$18.25 - $24.75/hr
Summary #LI-Remote This is a field-based and remote opportunity supporting key accounts in an ... bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a ...
New
Remote Medical Billing Rcm information
What are the key skills and qualifications needed to thrive as a Remote Medical Billing RCM (Revenue Cycle Management) Specialist, and why are they important?
What are some common challenges faced by Remote Medical Billing RCM professionals, and how can they be addressed?
What are Remote Medical Billing RCM professionals?
What is the difference between Remote Medical Billing Rcm vs Remote Medical Coding Specialist?
| Aspect | Remote Medical Billing Rcm | Remote Medical Coding Specialist |
|---|---|---|
| Primary Role | Managing billing processes, submitting claims, and ensuring payment collection | Reviewing medical records and assigning appropriate codes for billing and documentation |
| Required Certifications | CPB, CPC, or similar billing certifications | CPC, CCS, or coding certifications |
| Work Environment | Remote or office-based, healthcare or billing companies | Remote or office-based, healthcare providers or coding companies |
| Industry Usage | Widely used in healthcare billing and revenue cycle management | Common in medical record documentation and coding departments |
While both roles are essential in healthcare revenue cycle management, Remote Medical Billing Rcm focuses on submitting claims and collecting payments, whereas Remote Medical Coding Specialist concentrates on accurately coding medical records. They often collaborate but require different certifications and skill sets.
- Work From Home Medical Biller
- Athena Coding
- Remote Certified Billing Coding Specialist Cbcs
- No Experience Medical Billing Coding Willing To Train
- Freelance Medical Billing Coding Willing To Train
- Kelsey Seybold Clinic Medical Coding Billing
- Remote Medical Biller
- Medical Billing Coding Specialist
- Remote Certified Professional Biller Cpb
- Remote Medical Device Specialist

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