Overview As a Medical Coding Auditor at ModMed BOOST, you ensure coding compliance across ICD-10-CM, HCPCS, CPT and modifiers while advancing denial management and QA initiatives. You collaborate with internal and global coding teams to provide actionable feedback, drive training, and uphold coding standards. You'll conduct QA audits, track coding trends, and support continuous quality improvement under the Coding and Auditing Manager. This role blends audit rigor with education to elevate client coding accuracy and compliance.
Compensation / Benefits- Comprehensive medical, dental, and vision benefits
- 401(k) with company match
- Paid time off and parental leave
- Life and disability insurance
- Flexible Spending Account
- Tuition reimbursement and LinkedIn Learning
Responsibilities- Perform QA audits and trend analysis on federal, state, and payer guidelines
- Provide actionable feedback to global coding teams to improve accuracy
- Document audit results in logs and summarize QA performance
- Collaborate with BOOST and global teams on inquiries, clarifications, and training requests
- Lead or participate in BOOST Quality Assurance audits (assignment accuracy, appeals)
- Support review, appeal, and follow-up of third-party audits (RAC, CERT)
- Assist in updating coding guidelines, scrub edits, and implementation of coding procedures
- Ensure continuing education units (CEUs) for maintaining coding certifications
Key requirements- Proficiency with ICD-10-CM, HCPCS, CPT coding and modifiers
- Experience conducting QA audits and denial management
- Ability to communicate clearly with global teams and leadership
- Maintain CEUs and coding certifications
- Strong documentation and training skills
- Collaboration with cross-functional teams to improve processes
- collaboration
- strong communication
- attention to detail
- ICD-10-CM
- HCPCS
- CPT
