{"id":1206121,"url":"https://alion.io/job/modernizing-medicine-medical-coding-auditor","title":"Medical Coding Auditor","company":{"id":1865761,"name":"Modernizing Medicine","domain":"modmed.com","url":"https://alion.io/company/modmed","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":75,"open_postings":10,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":35,"computed_at":"2026-10-01T05:45:00Z"}},"role":"Finance","role_family":"Finance","seniority":null,"employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"posting_text","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":75000,"max_usd":195000,"period":"year","method":"role_country_seniority_unknown","sample_n":5972},"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-09-18T00:00:00Z","employer_posted_date":"2026-09-18","last_verified_at":"2026-10-01T09:20:39Z","board_verified":true,"closed_at":null,"days_open":13,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":13},"description":"Join the Team Modernizing Medicine\nAt ModMed, we’re not just building software-we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired doctors and taught them how to code. This \"for doctors, by doctors\" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care.\nA Culture of Excellence\nWhen you join ModMed, you’re joining an award-winning team recognized for innovation and employee satisfaction. From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes:\nConsistently ranked as a Top Place to Work\n\n2025 Globee Business Awards: Gold Globee for “Technology Team of the Year”\n\n2025 Black Book Awards: Ranked #1 EHR in 11 Specialties\n\nFlorida Venture Forum: Venture-Backed Company of the Year\n\nWe are growing fast, thinking big, and we are just getting started.\nReady to modernize medicine with us?\nJob Description Summary:\nMedical Coding Auditors are responsible for ensuring that coding performed on behalf of ModMed BOOST clients is in compliance with all published federal, state and payer-specific coding guidelines.\nThe Medical Coding Auditor conducts coding reviews and quality assurance audits to verify that all applicable guidelines associated with ICD-10 CM, HCPCS, CPT procedural coding, and modifier usage are followed by the BOOST coding team and the global coding teams. The Medical Coding Auditor also performs as a denial management coder, which reviews and analyzes coding denials and provides needed corrections of these claims when applicable, and performs quality assurance on global denial coding teams processes.\nMedical Coding Auditors must maintain continuous contact with the BOOST internal and global coding teams to provide statistical and qualitative feedback on the coding quality and aid in education and guidance consistent with established coding and compliance guidelines. They will perform duties under the supervision of the Medical Coding and Auditing Manager.\nEssential Functions of Medical Coding Auditor\nResponsible for analyzing, reviewing and providing feedback when performing quality assurance activities and completing QA audits, including but not limited to:Ensuring all federal and state coding guidelines and regulations are met as well as payer guidelines\nProvide effective feedback to the global coding teams to aid in their successful coding of BOOST clients\nMaintaining a communication log to show successful training of the global coding team when coding trends or issues are found\nReport all coding trends and issues to department lead as they are identified\n\nReview target cases per month based on the ModMed Quality Assurance SOP\nAccurately document their daily audit results in the Daily Audit Log and communicate coding resolutions to the BOOST or global coding teamsThis would include monthly assistance in maintaining QA audit logs summary pages which details the global coding teams monthly coding accuracy levels \n\nCollaborate with the global coding teams on inquires, clarifications, QA rebuttals and training requests\nWork alongside coding leadership in regard to global coding teams training of coding processes as well as attending remote coding sessions with the global coding teamsThis would consist of coding, documentation, coding guideline training and overall QA findings resolutions\n\nHelp with other daily communications between the internal BOOST RCM teams and the Auditing team in regards to other coding inquiries or issuesThis would include any sync calls pertaining to assigned clients or ModMed committee calls pertaining to assigned specialties\n\nPerform BOOST special Quality Assurance audits on the global coding teamsSuch as on their assignment accuracy, coding appeals accuracy and all other coding scopes\n\nPerform BOOST or Compliance audits when requested by BOOST or other ModMed staff which help to determine coding compliance or client documentation issues\nSupport in the review, appeal and follow up of third party (RAC, CERT, etc.) audits\nAssist in review and maintenance of coding guidelines, coding scrub edits and/or practice coding instructions and assist with continuous quality improvement by helping with the process of implementation and carry through of coding protocols and procedures\nCollaborate with fellow coding/auditing team members to maintain department compliance and effectiveness\nResponsible for obtaining continuing education units (CEU) for maintaining coding certification(s)\nModMed Benefits Highlight: At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:\nUnited States\nComprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution,\n401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.\nGenerous Paid Time Off and Paid Parental Leave programs,\nCompany paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,\nCompany-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,\nProfessional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,\nGlobal presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,\nWeekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.\nPHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote \"interviews,\" and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address ().Please check senders’ email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.","description_format":"text","description_chars":6866,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Parental leave","Professional development"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Revenue Cycle & Medical Billing","EHR & Clinical Software","Practice Management Software"],"lifecycle":[{"event":"open","at":"2026-09-24T23:55:15Z"}],"liveness":{"score":48,"band":"ok","label":"Likely open","p_open":1,"p_active":0.53,"p_room":0.9,"age_days":13,"expected_fill_days":35,"reasons":["conf:6","stale_co","velocity","win:mid"],"computed_at":"2026-10-01T05:45:00Z"},"pay":null,"html_url":"https://alion.io/job/modernizing-medicine-medical-coding-auditor","json_url":"https://alion.io/job/modernizing-medicine-medical-coding-auditor.json","meta":{"generated_at":"2026-10-01T12:32:57Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","usage":{"tier":"crawler","counted_by":"address","units_charged":1,"used_today":3938,"day_limit":5000,"remaining_today":1062,"minute_limit":60,"resets_at":"2026-10-02T00:00:00Z"}}}