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Medical Coding Compliance Jobs (NOW HIRING)

Modernizing Medicine, Inc.

Medical Coding Auditor

Perform BOOST or Compliance audits when requested by BOOST or other ModMed staff which help to ... Detailed knowledge of medical coding systems, procedures, and documentation requirements is ...

Upland Hills Health

Medical Coding Team Lead

Dodgeville, WI · Remote

$23.25 - $31.75/hr

Medical Coding Team Lead Location: Upland Hills Health - Dodgeville Hospital Campus *Please note ... Maintain strict compliance with HIPAA regulations, safeguarding all patient health information and ...

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Medical Coding Compliance information

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How much do medical coding compliance jobs pay per hour?

As of Jun 20, 2026, the average hourly pay for medical coding compliance in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in Medical Coding Compliance, and why are they important?

To thrive in Medical Coding Compliance, you need a thorough understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and compliance standards, often backed by certifications like CPC, CCS, or CHC. Proficiency with electronic health record (EHR) systems, coding software, and compliance auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and educating staff. These skills ensure accurate coding, reduce legal risks, and maintain organizational compliance with healthcare regulations.

What is the full meaning of medical?

In the context of medical coding compliance, 'medical' refers to anything related to the practice of medicine, healthcare, and patient care. It encompasses medical diagnoses, procedures, and services that are documented and coded for billing, reimbursement, and compliance purposes.

What's the difference between Medicare and Medi-Cal?

Medical coding compliance professionals need to understand that Medicare is a federal health insurance program primarily for people aged 65 and older or with certain disabilities, while Medi-Cal is California's Medicaid program providing health coverage for low-income individuals and families. Both programs have different billing rules, coverage policies, and documentation requirements that impact coding accuracy and compliance efforts.

What's the maximum income to qualify for Medi-Cal?

For medical coding compliance roles, eligibility for Medi-Cal depends on income levels, which are generally set as a percentage of the Federal Poverty Level (FPL). As of 2023, individuals with incomes up to 138% of the FPL typically qualify for Medi-Cal in California. Income limits vary by household size and specific program rules, so it's important to check current guidelines for accurate qualification thresholds.

Is medical the same as medi-cal?

Medical coding compliance professionals focus on ensuring accurate coding and billing practices for healthcare services. Medi-Cal is California's Medicaid program providing health coverage to eligible individuals; it is not related to medical coding but involves healthcare program administration. The two are distinct in purpose and function within the healthcare industry.

What is the difference between Medical Coding Compliance vs Medical Coding Specialist?

AspectMedical Coding ComplianceMedical Coding Specialist
CertificationsCPMA, CPC, CCSCPC, CCS
Work EnvironmentCompliance departments, healthcare organizationsMedical offices, hospitals, clinics
Primary FocusEnsuring coding accuracy and regulatory adherenceAssigning codes to medical procedures and diagnoses
Employer & Industry UsageHealthcare compliance and auditing firms, hospitalsHealthcare providers, billing companies

Medical Coding Compliance professionals focus on ensuring that coding practices adhere to regulations and standards, often working in compliance or auditing roles. Medical Coding Specialists primarily assign codes to medical records for billing and documentation. While both roles require similar certifications, their responsibilities and work environments differ significantly.

What are some common challenges faced in a Medical Coding Compliance role, and how can they be addressed?

Medical Coding Compliance professionals often encounter challenges such as staying updated with frequent changes to coding regulations, ensuring consistent adherence to compliance standards across departments, and accurately interpreting complex clinical documentation. To address these, it’s crucial to participate in ongoing education, maintain close communication with healthcare providers, and utilize robust auditing tools. Collaborating with compliance officers and regularly attending training sessions can also help reinforce best practices and minimize errors.

What is medical coding compliance?

Medical coding compliance refers to the process of ensuring that medical coding practices adhere to federal, state, and organizational regulations and guidelines. This involves accurately translating medical diagnoses, procedures, and services into standardized codes for billing and documentation purposes. Compliance helps prevent fraud, reduce billing errors, and ensures that healthcare providers receive appropriate reimbursement while avoiding legal penalties. Professionals in this field stay updated on changing regulations, conduct audits, and provide training to staff to maintain high standards of accuracy and integrity.
More about Medical Coding Compliance jobs
What cities are hiring for Medical Coding Compliance jobs? Cities with the most Medical Coding Compliance job openings:
What states have the most Medical Coding Compliance jobs? States with the most job openings for Medical Coding Compliance jobs include:
What job categories do people searching Medical Coding Compliance jobs look for? The top searched job categories for Medical Coding Compliance jobs are:
Medical Coding Compliance jobs near you
Infographic showing various Medical Coding Compliance job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 79% Physical, 4% Hybrid, and 17% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.
Medical Coding Auditor

Medical Coding Auditor

Modernizing Medicine, Inc.

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

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 Year

We 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.

PHISHING 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 (first.lastname@modmed.com). 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.

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