This is a remote position. 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 work-papers 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 work-papers 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 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.