Oncology - Medical Oncology Physician

Summit Recruiting Group; Lansing (MI); A distancia; USD 85.000 - 115.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

401(k) matching

Tuition reimbursement

Life insurance

Disability coverage

Flexible work arrangements

Descripción de la vacante

Serco is seeking a Medical Coding Auditing Specialist for remote work supporting the DHA Medical Coding Program.

The role involves performing routine and targeted audits across DHA Markets, ensuring compliance with ICD-CM, PCS, CPT, and HCPCS guidelines, and contributing to audit planning and reporting. Candidates must have strong coding certifications and several years of auditing experience.

Formación

• Must have ICD-CM/PCS, HCPCS, and CPT knowledge.
• Strong auditing skills across multiple medical specialties.
• Deep understanding of health information management concepts.
• Familiarity with government coding rules and reimbursement policies.

Responsabilidades

• Perform audits of DHA Markets including data quality and coding accuracy.
• Support development of annual medical coding audit work plans.
• Conduct targeted coding and documentation audits as required.
• Assist in reporting audit findings to stakeholders.

Conocimientos

ICD-CM/PCS/CPT

Auditing expertise

Regulatory knowledge

Revenue cycle

Educación

Associate degree in HIM/Healthcare Admin

AAPC/AHIMA certification

Descripción del empleo

Medical Coding Auditing Specialist - Remote

Serco is excited to continue our support to the Defense Heath Agency (DHA) Medical Coding Program Branch (MCPB). The DHA is a joint, integrated Combat Support Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force to Combatant Commands in both peacetime and wartime. The essential mission of the DHA Medical Coding Program Branch (DHA-MCPB) is to improve the accuracy and quality of medical coding and documentation across DHA in support of the DHA mission.

Medical Coding Auditing consists of a systematic, unbiased, independent examination of medical documentation and coding to validate that all codes entered into the Military Health System (MHS) systems are in conformity with official coding policies, regulations, requirements, and standards. The auditing task involves developing or following a disciplined, systematic process that defines what is to be audited and why, how errors are defined and reported, what documentation and official guidance is required, and how results are reported.

The work will encompass all 400 Military Treatment Facilities and Dental clinics assigned to DHA Markets. The work may include multiple conference calls, virtual meetings, and onsite visits to DHA organizational elements inside the continental United States (CONUS) and outside of the continental United States (OCONUS).

Specifically, the work of the Medical Coding Auditing Specialists involves, but is not limited to: performance of routine or standard audits of all MTFs and Dental clinics assigned to DHA Markets, such as the Data Quality Management Control (DQMC) audit; direct support to the DHA-MCPB to develop an annual work plan of medical coding audits based upon identified enterprise risk factors; when directed, performance of targeted coding and/or documentation audits of DHA Markets, DHARs, medical service lines or specialties, MTFs, or individuals; and direct support to the DHA-MCPB in performance of medical coding audits used in Government surveillance of other DHA medical coding contracts.

All candidates for this position will be required to provide documentation of education (e.g., copies of diplomas, certificates, transcripts, or other documentation) in the candidate's qualification package.

To be successful in this position, the following requirements are applicable:

Education:

• An associate's degree or higher in Health Information Management or Healthcare Administration or biological science; OR
• A university, college, or technical school certificate in medical coding; OR
• At least 30 semester hours' university/college credit of a grade of "C", "Pass", or better, that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR
• Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) online or in-person coding exam preparation course that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR
• Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision.

Mandatory Skills:

• Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT).
• Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT).
• Advanced knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.
• Practical knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology); and revenue cycle management concepts.
• Thorough understanding of Government rules and regulations regarding medical coding, reimbursement guidelines, and healthcare fraud; commercial reimbursement guidelines and policies; coding audit principles and concepts, and potential areas of risk for fraud and abuse. Includes, but is not limited to: The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage Determinations and National Coverage Determinations (LCD and NCD), National Correct Coding Initiative (NCCI) guidance, manual, and edits, Internet-Only Manuals (IOMs), and HHS-OIG publications and reports.
• Practical knowledge of revenue cycle management, project management concepts, business analysis, training methods, clinical documentation improvement, and continuous process improvement processes.
• Practical knowledge of Current Dental Terminology (CDT).

Certifications:

• Medical Coding Auditing Specialists are required to possess a coding certification in good standing in each of the following categories:
• Professional Services Coding Certifications:
  • One of the following recognized professional coding certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Coder (CPC); or Certified Coding Specialist - Physician (CCS-P). Other professional coding certifications will be considered by the DHA-MCPB on a case-by-case basis.
• Institutional (Facility) Coding Certifications:
  • One of the following recognized institutional coding certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Inpatient Coder (CIC), or Certified Coding Specialist (CCS). Other institutional coding certifications will be considered by the DHA-MCPB on a case-by-case basis
• Additional Coding Auditing Certifications:
  • Each of the following:
    • AAPC: Certified Professional Medical Auditor (CPMA);
    • National Alliance of Medical Auditing Specialists (NAMAS): Certified Evaluation and Management Auditor (CEMA).

Continuing Education Requirements:

• Medical coding personnel shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position at no expense to the Government.

Experience Requirements for Medical Coding Auditing Specialists:

• A minimum of seven (7) years of medical coding and/or auditing experience in four (4) or more medical, surgical, and ancillary specialties within the past 15 years. A minimum of one (1) year of performance in the specialty is required to be qualifying.
• Multiple specialties encompass different medical specialties (i.e., Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience.
• Coding experience should include inpatient facility and ambulatory surgery areas.
• Additionally, coding, auditing, and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience.
• Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor.
• Four (4) years of the seven (7) years of required coding experience must involve medical coding auditing functions. Auditing functions include development and execution of audit plan, conducting audit according to audit plan by reviewing required documentation and determining compliance with audit standards, communicating with stakeholders during all phases of audit, and reporting on audit findings.
• Pre-employment Coding Auditing Specialist Test: Prospective candidates must pass a pre-employment Medical Coding Compliance Specialist Test, with a score of 70% or better.
• If the candidate is an incumbent on a current or prior DHA or Military Department (MILDEP) contract, the test will be waived IF the incumbent has demonstrated satisfactory performance and otherwise meets the qualifications for the position.

Developmental Classification:

A Medical Coding Compliance Specialist candidate that does not meet all required certifications may be accepted in a "developmental classification" at 90% of the Full Performance salary. Employees assigned to a Developmental Classification will be required to signs a memorandum of agreement (MOA) with Serco agreeing to eliminate the deficiency within an agreed to timeframe.

Serco Inc. Overview

Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco's 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.

Benefits

• Medical, dental, and vision insurance
• Robust vacation and sick leave benefits, and flexible work arrangements where permitted by role or contract
• 401(k) plan that includes employer matching funds
• Tuition reimbursement program
• Life insurance and disability coverage
• Optional coverages that can be purchased, including pet insurance, home and auto insurance, additional life and accident insurance, critical illness insurance, group legal, ID theft protection
• Birth, adoption, parental leave benefits
• Employee Assistance Plan

Equal Employment Opportunity

Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Salary

Salary range: The range for this position can be found at the top of this posting. This range is provided as a general guideline and represents a good faith estimate across all experience levels. Actual base salary will be determined by a variety of factors, including but not limited to, the scope of the role, relevant experience, job‑related knowledge, education and training, key skills, and geographic market considerations. For roles available in multiple states, the range may vary to reflect differences in local labor markets. In addition to base salary, eligible positions may include other forms of compensation such as annual bonuses or long‑term incentive opportunities.