RADcube - A NLogix Company

The role involves reviewing medical records and claims documentation to ensure coding accuracy and compliance with state and federal standards. The specialist will identify billing discrepancies, prepare audit reports, and support appeals processes.

The Registered Nurse Clinical Auditor will conduct medical record reviews and billing compliance audits to ensure adherence to Indiana Health Coverage Programs and CMS standards. They are responsible for identifying documentation deficiencies, preparing audit reports, and supporting appeals activities.