Senior Medical Coding Auditor – DHA Compliance

Serco; Hagåtña (GU); Remote; USD 90,000 - 130,000; Full time

Job summary

Serco is seeking Medical Coding Auditing Specialists to support the DHA Medical Coding Program Branch across CONUS and OCONUS. The role involves auditing medical documentation to ensure codes conform to policies, with duties including routine audits, developing annual work plans, and targeted audits for DHA Markets.

Applicants must provide documentation of education and meet certification requirements (RHIT/RHIA/CPC/CCS or equivalent).

Qualifications

• Advanced knowledge of ICD-CM/PCS, HCPCS, and CPT codes.
• Advanced knowledge of PPS, DRGs, APCs, and RBRVS.
• Strong understanding of medical terminology, anatomy/physiology, pharmacology, and disease processes.
• Practical knowledge of revenue cycle management and coding audit principles.
• Familiarity with AHIMA/AAPC coding certs and related governance.

Responsibilities

• Perform routine audits of DHA MTFs and dental clinics.
• Support annual DHA audit work plan development.
• Conduct targeted coding/documentation audits as directed.
• Assist DHA-MCPB in audits used for government surveillance of contracts.
• Coordinate audits via calls, meetings, and site visits.

Skills

ICD-CM/PCS/CPT

PPS/DRGs/APCs/RBRVS

Anatomy & physiology knowledge

Revenue cycle management

CDT terminology

Education

Associate degree or higher in Health Information Management/Healthcare Administration/biological science

Certificate in medical coding

At least 30 semester hours with related coursework

AAPC/AHIMA coding exam prep course

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

Job description

Serco is seeking Medical Coding Auditing Specialists to support the DHA Medical Coding Program Branch across CONUS and OCONUS. The role involves auditing medical documentation to ensure codes conform to policies, with duties including routine audits, developing annual work plans, and targeted audits for DHA Markets.

Applicants must provide documentation of education and meet certification requirements (RHIT/RHIA/CPC/CCS or equivalent).