Indiana Licensed Clinical Auditor RN

A company is looking for a Clinical Auditor Registered Nurse. Key Responsibilities Review medical records and documentation for compliance with healthcare standards and regulations Conduct independent medical record and compliance reviews, providing preliminary findings Identify documentation deficiencies and billing compliance issues while maintaining detailed workpapers Required Qualifications RN license preferred; Indiana or compact license accepted Coding certification such as CCS or CPC strongly preferred At least 1 year of experience in Medicaid claims review or healthcare reimbursement Familiarity with Indiana Medicaid policies and documentation requirements preferred Knowledge of CPT coding guidelines and ICD-10 standards