RCM Coding Specialist

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: RCM Coding Specialist Location: Hyderabad Reports to: Sr. Manager, MMI (Administrative) | Manager, Medical Who We Are At ModMed , we are on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical-practice success and improves patient outcomes. We live by our core values: Create Customer Delight and Save Time . Innovate Boldly , then make things happen. Align Passion with Purpose . Think Big. Have Fun. Do Good. The Role The RCM Coding Specialist is a vital new role designed to make our team self-sufficient across the entire Revenue Cycle Management (RCM) cycle. This position serves as a Subject Matter Expert (SME), ensuring that medical coding is accurate, compliant, and optimized to reduce denials. You will bridge the gap between our global partners and US-based teams, providing the technical expertise necessary to improve patient outcomes and practice success. What You’ll Do Quality Assurance & Auditing (25%): Audit coding performed by Global Partners and provide timely feedback to resolve denied claims quickly. Denial Management (20%): Review and resolve coding denials from payers, ensuring accurate resubmission and revenue recovery. Subject Matter Expertise (20%): Act as the primary point of contact for coding questions and clarifications for the MMI team. Trend Analysis (15%): Review claims assigned to practices due to coding issues to identify trends; collaborate with Client Advisors (CAs) when practice education or intervention is needed. Preventive Strategy (10%): Analyze denial data to recommend preventive measures, such as scrub edits, provider training, and internal action…