Indiana Licensed Clinical Auditor

A company is looking for a Registered Nurse Clinical Auditor. Key Responsibilities Review medical records and documentation for compliance with Indiana Health Coverage Programs and other regulations Conduct independent medical record reviews and provide preliminary findings Identify documentation deficiencies and assist with audit responses and appeals 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