Medical Coding Audit Specialist — Compliance Leader

Serco; Montpelier (VT); Remote; USD 75,000 - 110,000; Full time

Job summary

Serco is seeking a Medical Coding Auditing Specialist to support the DHA Medical Coding Program Branch. You will perform routine audits across DHA facilities, develop annual audit plans, and conduct targeted coding/documentation audits as required.

Expect collaboration via calls, virtual meetings, and on-site visits. The role requires deep knowledge of ICD-CM, CPT, DRGs, PPS and government regulations, plus professional coding certifications and a minimum seven years of experience in

Qualifications

• Advanced knowledge of ICD-CM, PCS, HCPCS, CPT and related coding standards.
• Strong understanding of PPS, DRGs, APCs and RBRVS.
• Deep familiarity with medical terminology, anatomy, physiology and pharmacology.
• Experience with revenue cycle management, audits, and coding compliance.
• Knowledge of CMS LCD/NCD and other government coding guidance.

Responsibilities

• Perform routine audits of DHA Medical Coding Program Branch facilities and clinics.
• Support development of annual DHA audit work plan based on enterprise risk factors.
• Conduct targeted coding/documentation audits as directed.
• Assist in preparing reports for government surveillance and contract requirements.

Skills

ICD-CM coding

PCS (Procedural Coding)

HCPCS

CPT coding

PPS & DRGs

CDT coding

Revenue cycle knowledge

Regulatory compliance

Education

Associate degree in HIM or Healthcare Admin

Medical coding certificate (AA/CPC/AHIMA etc)

Coursework in anatomy/physiology/medical terminology

AAFCP/CPMA/NAMAS etc certification (preferred)

Military coding training background

Job description

Serco is seeking a Medical Coding Auditing Specialist to support the DHA Medical Coding Program Branch. You will perform routine audits across DHA facilities, develop annual audit plans, and conduct targeted coding/documentation audits as required.

Expect collaboration via calls, virtual meetings, and on-site visits. The role requires deep knowledge of ICD-CM, CPT, DRGs, PPS and government regulations, plus professional coding certifications and a minimum seven years of experience in