Medical Coding Auditor – DHA Compliance (Remote/Flexible)

Serco; Boise (ID); Remote; USD 85,000 - 110,000; Full time

Job summary

Serco Inc. is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency's Medical Coding Program Branch.

The role involves auditing medical documentation for ICD-CM, CPT, HCPCS, and DRG compliance across DHA markets, with nationwide and international travel as required. Successful candidates will have a strong background in medical coding and auditing, certifications in professional and institutional coding, and a track record of working within government healthcare

Qualifications

• Knowledge of ICD-CM/PCS, HCPCS, CPT and coding guidelines.
• Understanding PPS, DRGs, APCs, RBRVS for reimbursement.
• Strong grasp of medical terminology, anatomy, physiology, pharmacology, and disease processes.
• Experience with revenue cycle management concepts and coding audits.
• Familiarity with CDT terminology.
• Certifications in RHIT/RHIA/CPC/CCS-P and facility certifications pursued if applicable.

Responsibilities

• Perform routine or standard audits of DHA facilities and dental clinics.
• Assist in developing annual work plans for medical coding audits based on enterprise risk factors.
• Conduct targeted coding and documentation audits as directed.
• Support DHA-MCPB in audits used for government surveillance of contracts.

Skills

ICD-CM/PCS/CPT/HCPCS

Reimbursement knowledge (PPS, DRGs, AP

Medical terminology & pharmacology

Revenue cycle management

CDT terminology

Education

Associate degree or higher in HIM/Healthcare Administration/biological sciences

Medical coding certificate

30+ credit hours including anatomy/physiology/terminology

AAPC/AHIMA coding exam prep course

Armed Forces/U.S. Maritime Service medical training program

Job description

Serco Inc. is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency's Medical Coding Program Branch.

The role involves auditing medical documentation for ICD-CM, CPT, HCPCS, and DRG compliance across DHA markets, with nationwide and international travel as required. Successful candidates will have a strong background in medical coding and auditing, certifications in professional and institutional coding, and a track record of working within government healthcare