RCM Coding Specialist – Medical Coding Auditor 3

2 days ago


Hyderabad, Telangana, India ModMed Full time

About ModMed

At ModMed, we are united in our mission to make a positive impact on healthcare. As a Medical Coding Quality Auditor, you will play a key role in ensuring the accuracy and quality of our medical coding services.

Job Summary

We are seeking a highly skilled and experienced Medical Coding Quality Auditor to join our team. The successful candidate will be responsible for auditing the work of our coding team, providing timely feedback, and identifying opportunities for process improvement.

Key Responsibilities

  • Audit the work of our coding team to ensure compliance with coding guidelines and standards.
  • Provide timely feedback to the coding team on their work to aid in the quick resolution of denied claims.
  • Review and work on coding denials from payers to ensure accurate coding and reimbursement.
  • Serve as a point of contact for coding questions and clarifications for the MMI team.
  • Participate in coding educational opportunities to stay up-to-date on payer guidelines and coding standards.

Requirements

  • 5+ years of experience in medical coding, with a minimum of 2 years as a coding SME or quality auditor.
  • Certification in CPC or CCS.
  • Strong knowledge of CPT, ICD, and modifier codes.
  • Excellent communication and writing skills.
  • Ability to work independently and as part of a team.

Benefits

  • High-growth, collaborative, and award-winning culture.
  • Comprehensive benefits package, including medical, dental, and vision benefits.
  • Generous paid time off and paid parental leave programs.
  • Professional development opportunities, including tuition reimbursement and LinkedIn Learning.


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