Remote Medical Coding Auditor - QA & Denial Expert

ModMed; Northern (KY); Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Health benefits

401(k) matching

Tuition reimbursement

Hybrid/remote role

Paid time off

Job summary

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 coding teams, provide training insights, and support denial management activities. Ideal candidates have at least 1 year as a CPC and CPMA preferred, with strong analytical and communication skills, and a commitment to pursue CPMA

Qualifications

• Minimum 1‑year experience as a CPC.
• CPMA certification is preferred.
• Must agree to obtain CPMA auditing certification within 6 months of employment.
• Knowledge of CPT, ICD-10-CM, HCPCS, modifiers, E/M and coding guidelines is required.
• Understanding of NCCI and CCI bundling edits and payer policies is essential.
• Strong medical terminology knowledge and anatomy understanding.
• Excellent written and verbal communication; highly detail‑oriented.

Responsibilities

• Analyze, review and provide QA feedback during coding audits.
• Ensure compliance with federal, state and payer guidelines.
• Document audit results and communicate resolutions to BOOST/global teams.
• Collaborate with global coding teams on inquiries, clarifications and training.
• Support RAC/CERT audits and maintain coding guideline updates.

Skills

CPC certified

CPMA (preferred)

CPT/ICD-10-CM/HCPCS knowledge

NCCI/CCI edits

Coding guidelines enforcement

Medical terminology

Analytical skills

Excel/Word

Attention to detail

Communication skills

Education

CP MA certification (preferred)

Tools

gMed/gGastro or EMA/PM

Job description

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 coding teams, provide training insights, and support denial management activities. Ideal candidates have at least 1 year as a CPC and CPMA preferred, with strong analytical and communication skills, and a commitment to pursue CPMA