Senior Medical Coding Auditor — Federal Health System

Serco; Augusta (ME); Remoto; USD 85.000 - 120.000; Tempo pieno

Descrizione del lavoro

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency’s Medical Coding Program Branch. The role involves routine audits across DHA markets, development of annual work plans based on risk factors, and targeted audits of medical coding and documentation.

The candidate will collaborate with DHA-MCPB on audits used for government surveillance, meeting requirements for coding accuracy, reimbursement rules, and compliance with CMS/NCD guidance.

Competenze

• Associate degree or higher in health information management or related field.
• Certificate in medical coding or related coursework.
• At least 30 semester hours with relevant coursework.
• AAPC/AHIMA coding exam preparation coursework.
• Armed Forces medical training may qualify.

Mansioni

• Perform routine audits of DHA Markets’ medical coding and documentation.
• Assist in developing annual audit work plans based on enterprise risk factors.
• Conduct targeted coding and documentation audits as directed.
• Support DHA-MCPB in government surveillance activities.

Conoscenze

ICD-CM/PCS

CPT coding

HCPCS

DRGs

Revenue cycle

Formazione

Associate degree in Health Information Management or Healthcare Administration

Medical coding certificate

30 credits in anatomy/physiology/medical terminology

AAPC/AHIMA coding exam prep course

Armed Forces training program in medical services

Strumenti

Coding software knowledge

Descrizione del lavoro

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency’s Medical Coding Program Branch. The role involves routine audits across DHA markets, development of annual work plans based on risk factors, and targeted audits of medical coding and documentation.

The candidate will collaborate with DHA-MCPB on audits used for government surveillance, meeting requirements for coding accuracy, reimbursement rules, and compliance with CMS/NCD guidance.