Indiana Licensed Clinical Auditor RN

Job Summary

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