Medical Coding Auditor
ModMed
- # Medical Coding AuditorApplyremote type: Remote USlocations: Remote - USAtime type: Full timeposted on: Posted Yesterdayjob requisition id: R4766**Join the Team Modernizing Medicine**At **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.**A Culture of Excellence**When 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:* **Consistently ranked as a Top Place to Work*** **2025 Globee Business Awards:** Gold Globee for “Technology Team of the Year”* **2025 Black Book Awards:** Ranked #1 EHR in 11 Specialties* **Florida Venture Forum:** Venture-Backed Company of the YearWe are growing fast, thinking big, and we are just getting started.**Ready to modernize medicine with us?****Job Description Summary:**ModMed is hiring a driven **Medical Coding Auditor** to join our positive, passionate, and high-performing BOOST Services team focused on delivering top-tier coding compliance and accuracy for our clients. This is an exciting opportunity to play a key role in upholding coding quality standards and supporting audit and denial management processes within a fast-paced Healthcare IT company that is truly Modernizing Medicine!The 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 the global denial coding teams' processes. Medical 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.***Your Role:**** Responsible 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 + Provide effective feedback to the global coding teams to aid in their successful coding of BOOST clients + Maintaining a communication log to show successful training of the global coding team when coding trends or issues are found + Report all coding trends and issues to the department lead as they are identified* Review target cases per month based on the ModMed Quality Assurance SOP* Accurately document their daily audit results in the Daily Audit Log and communicate coding resolutions to the BOOST or global coding teams* Collaborate with the global coding teams on inquiries, clarifications, QA rebuttals and training requests* Work alongside coding leadership in regards to global coding teams training of coding processes as well as attending remote coding sessions with the global coding teams* Help with other daily communications between the internal BOOST RCM teams and the Auditing team in regards to other coding inquiries or issues* Perform BOOST special Quality Assurance audits on the global coding teams* Perform BOOST or Compliance audits when requested by BOOST or other ModMed staff which help to determine coding compliance or client documentation issues* Support in the review, appeal and follow-up of third-party (RAC, CERT, etc.) audits* Assist 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* Collaborate with fellow coding/auditing team members to maintain department compliance and effectiveness* Responsible for obtaining continuing education units (CEU) for maintaining coding certification(s)***Skills & Requirements:**** Minimum 1-year experience as a Certified Professional Coder **required** - physician-based and/or ASC-based - multi-specialty coding experience preferred* Minimum 1-year experience as a Certified Professional Medical Auditor (CPMA), preferred not required* **Must agree to obtain CPMA auditing certification within 6 months of employment** (if not a CPMA already)* Knowledge of CPT, ICD-10 CM, HCPCS, CPT coding, modifiers, E/M and all coding guidelines, required* Knowledge of medical terminology and anatomy, required* Understanding of federal, state and local coding compliance regulations and guidelines, required* Understanding of NCCI and CCI bundling edits, required* Understanding of LCD’s, NCDs and other payer coverage policies, required* Understanding of EOBs and ERA’s, denial remarks and claims review, preferred* Detailed knowledge of medical billing, preferred* Detailed knowledge of medical coding systems, procedures, and documentation requirements is required* The ability to interpret and apply coding guidelines for federal, state, and local standards is required* Proficient with Microsoft programs (Excel, Word) as well as the use of overall computer functions, preferred* Experience in gMed/gGastro or EMA/PM is preferred but not required* Highly detail-oriented with a critical degree of accuracy regarding data entry* Exceptional written, verbal, and interpersonal communication skills* Ability to clearly isolate and define trends/problems and provide alternatives or solutions* Strong analytical skills, such as the ability to identify, research, and resolve issues* Excellent time management skills with an emphasis on managing changing work priorities***ModMed 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:**United States*** Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution,* 401(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.* Generous Paid Time Off and Paid Parental Leave programs,* Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,* Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,* Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,* Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,* Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.
- J-18808-Ljbffr ModMed
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medical Coding Auditor in Brooklyn, NY vacancy
- ...this might be a great place for you!**Job Title: Compliance Auditor****Department:** Compliance**Reports To:** Director of... ...Conduct routine and focused audits of clinical documentation, medical records, billing, coding, claims submission, service authorization, and...SuggestedTemporary workWork at office
Mental Health Cooperative
Brooklyn, NY3 days ago - OneOncology is seeking a QA Coding Specialist to perform quality reviews of onshore and offshore billers and coders, ensuring accuracy... .... The ideal candidate holds CPC certification with 3+ years of medical coding auditing experience, preferably in medical/radiation...SuggestedRemote job
- Position Title: Inpatient Coding Auditor WFH Department: HIM Coders Remote Eligibility: Candidates must reside and work full‑time in AR,... ...will have experience in complex inpatient coding at an academic medical center. General Description Ensures accurate, quality, and...SuggestedFull timeImmediate startRemote workWork from home
- ModMed is seeking a Medical Coding Auditor to join the BOOST Services team remotely in the US. You will perform coding reviews and QA audits across ICD-10-CM, HCPCS, CPT and modifiers, ensuring compliance with guidelines and payer policies. You’ll interact with global...SuggestedRemote job
- Labela seeks certified U.S. medical coders for high-level coding and documentation consulting, acting as subject matter expert to validate AI-generated coding logic and documentation reasoning. This flexible, remote role requires 2+ years of production coding or CDI experience...SuggestedRemote jobFull timeFlexible hours
- Hattiesburg Clinic seeks a Chart Auditor to review medical records for accuracy and billing purposes, ensuring E/M and CPT/ICD-10 coding align with policies. The role involves internal audits, staying current with guidelines, and promoting compliant coding practices. The...
- Omega Healthcare Management Services seeks an External Auditor Physician to review inpatient and outpatient or Professional Services medical records for coding accuracy and data quality, impacting ICD-10-CM/PCS, CPT-4/HCPCS and APC assignments. You will identify physician...
- ...expertise and global market insights; and Workplace Solutions, a leading cloud-based share plan administration platform.As a Senior Auditor on the Private Bank/Wealth Management Solutions Internal Audit Team, you will plan, execute, and document audit engagements, along...Visa sponsorship
- ...stakeholdersPartner with stakeholders, business management, other control groups (i.e. risk management, compliance, fraud prevention), external auditors, and regulators, establishing strong working relationships while maintaining independenceFinalize audit findings and use judgment...Visa sponsorshipFlexible hours
$70k - $85k
Company DescriptionFORTUNE 500 FINANCIAL SERVICE COMPANYMUST HAVE EITHER BIG 4 OR FINANCIAL SERVICE EXPERIENCEJob Description-Senior Auditor An opportunity is currently available for an experienced audit professional within our Internal Audit Department. The successful...Work at officeLocal areaNight shift- Use your judgement to strength JPMorganChase’s internal controls!As a Senior Auditor Associate in our Internal Audit group, you will plan, execute and document audit reports, partner closely with global Audit colleagues and business stakeholders, and use judgment to strengthen...Visa sponsorship
$90k - $115k
.... Internal Audit also assists in monitoring the Firm's compliance with guidelines set for risk management and risk monitoring. IT Auditors focus on the application/infrastructure controls supporting the business processes and are responsible for understanding, analyzing...$108k - $133k
Job Reference #337024BRCityWeehawkenJob TypeFull Time Your roleDo you want to be part of an exciting journey transforming our legal operations? Are you at your best when enabling others? Are you detail‑oriented, experienced in running operational services and controls, ...Full timeFlexible hours$68k - $160k
Vice President, Auditor, Markets and Wealth Services At BNY, our culture allows us to run our company better and enables employees’ growth and success. As a leading global financial services company at the heart of the global financial system, we influence nearly 20% of...Temporary workWork experience placementWorldwideFlexible hours$66k - $71k
...Title: Operations Auditor Unit: Evaluation and Quality Improvement Reports to: Director of Data Integrity and Compliance Status: Full Time; Regular; Exempt Salary Range: $66,000 - $71,000 annually Location: Long Island City, Queens Days/Hours...Permanent employmentFull timeWork experience placementMonday to FridayThe Fortune Society
Queens, NY1 day ago$20 per hour
Responsibilities Enter daily information into revenue audit report forms and run back-up reports Prepare journal entries, track coupons used on property, sort and record complimentary receipts Reconcile accounts on a regular basis Assist with the monitoring of all financial...Hourly payFull timeBally's Interactive
Brooklyn, NY4 days ago- ...Junior Auditor (Entry-Level) Under the direct supervision of the Supervisor/Manager/Partner, this position will require independent judgment to plan, prioritize and organize a diversified workload, and recommend changes in office practices or procedures. Key Responsibilities...Work at office
Wei Wei &Co
Flushing, NY4 days ago $81.39k - $90.44k
## Tax Auditor IApplylocations: Lakewood, COtime type: Full timeposted on: Posted 2 Days Agotime... ...and applies City and State tax codes, rules, and regulations. • Schedules, plans... ...regular full-time and part-time positions.**Medical*** Cigna HDHP with Health Reimbursement...Full timeTemporary workPart timeSeasonal workWork at officeLocal areaImmediate startFlexible hoursS. Allison Pkwy., Lakewood, CO
Brooklyn, NY13 hours ago$61.5k - $98.3k
...Northern Trust provides a comprehensive benefits package including retirement benefits (401k and pension), health and welfare benefits (medical, dental, vision, spending accounts and disability), paid time off, parental and caregiver leave, life & accident insurance, and...H1bWork at officeWork from homeWorldwideFlexible hoursNACBA
Brooklyn, NY4 days ago$99.75k - $145k
...expertise and global market insights; and Workplace Solutions, a leading cloud-based share plan administration platform. As a Senior Auditor on the Private Bank/Wealth Management Solutions Internal Audit Team, you will plan, execute, and document audit engagements, along...Visa sponsorshipJPMorgan Chase Bank, N.A.
Jersey City, NJ2 days ago- ...Safety Auditor The Department of Design and Construction, Division of Safety and Site Support seeks a Safety Auditor. The selected candidate will be responsible for overseeing all aspects of DDC's safety-related construction programs. Key duties include conducting field...Full timeFor contractorsWork experience placementLocal area
New York City | Jobs
Long Island City, NY4 days ago - ...Auditor Hours: Full Time - 35 Hours Work Location: 30-30 Thomson Avenue, LIC, NY 11101 Only candidates who are permanent in the Associate Project Manager title, or those who are reachable on DDC's promotional list for exam #3573 or the open-competitive list for exam...Permanent employmentFull timeContract workH1bWork at officeVisa sponsorship
New York City | Jobs
Long Island City, NY3 days ago - ...Full Time Job Summary The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role... ...successful response to regulatory bodies and insurance companies for medical record reviews and audits. Minimum Education High School...Full timeWork experience placementWork at office
Saint Francis Health System
Brooklyn, NY3 days ago - ...Senior Auditor Join our Private Bank/Wealth Management Solutions Internal Audit team and play a key role in strengthening governance and driving operational excellence across a diverse portfolio of businesses. This team supports the Private Bank, which delivers tailored...Visa sponsorship
Chase
Jersey City, NJ3 days ago - ...The City of Vancouver is seeking a Revenue Auditor to plan and conduct revenue audits ensuring proper reporting and collection of business and occupation taxes. The role supports multiple departments and liaises with the Washington Department of Revenue. This full-time...Full timeWork at office
City of Vancouver
Brooklyn, NY2 days ago - ...wellness programs designed to support our team members' financial, physical, and mental well-being. Specific benefits—such as day-one medical coverage, 401(k) matching, and annual performance bonus—may vary by position. Paid time off is earned according to the local policy...Work experience placementLocal areaNight shift
ViziRecruiter
Brooklyn, NY13 hours ago - ...affiliated providers across six states. Position Summary The Hospital Auditor is responsible for reviewing hospital (inpatient and outpatient... ..., completeness, and compliance with regulatory guidelines and coding standards. This role supports the team’s broader mission by...
Ardent Health
Brooklyn, NY13 hours ago - ...Vancouver may be for you. We’re currently recruiting for a Revenue Auditor. Under general supervision, the Revenue Auditor will plan,... ...future follow up.* Prepare audit plans; review laws, municipal codes, and previous audit reports; schedule and arrange audits.* Discuss...Permanent employmentFull timeWork at officeLocal areaRemote work
City of Vancouver
Brooklyn, NY2 days ago $46.99k - $122.4k
...at a time. Position Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation, and other healthcare... ...Auditor must have the ability to determine correct coding and appropriate documentation during the review of...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursNACBA
Brooklyn, NY3 days ago$25.64 per hour
...audit processes and keep up to date with departmental changes in conducting quality reviews. Ensure the consistent use of current codes, correct information, documentation and departmental procedures by monitoring their use and identifying any deficiencies. Prepare...Hourly payCenters Plan for Healthy Living
Staten Island, NY2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Coding Auditor. Be the first to apply!
Related searches