Senior Medical Coding Auditor – Government Compliance

Serco; Carson City (NV); Remote; USD 95,000 - 125,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) plan with employer matching

Tuition reimbursement

Job summary

Serco is seeking Medical Coding Auditing Specialists to support the Defense Health Agency’s Medical Coding Program Branch across DHA Markets. You will audit facilities and clinics for coding accuracy, assist in planning audits, and perform targeted reviews as needed.

Qualified candidates have extensive ICD-CM/CPT knowledge, DRG/PPS familiarity, and strong understanding of coding regulations. Remote/CONUS travel may be required per assignments and training must be documented.

Qualifications

• Associate degree or higher in HIM/Healthcare Administration, biological sciences, or related field.
• Certification in medical coding (AAPC, AHIMA) or completion of equivalent coursework.
• Coursework in anatomy, physiology, medical terminology, or health information management.
• Completion of an approved coding exam prep course with terminology and coding concepts.
• Formal training in medical coding audits via military training or similar.

Responsibilities

• Perform audits of DHA Markets facilities and clinics to verify code accuracy and compliance.
• Assist in developing an annual audit work plan based on enterprise risk factors.
• Conduct targeted coding and documentation audits as directed.
• Support DHA-MCPB in government surveillance audits and reporting.

Skills

ICD-CM & CPT knowledge

DRGs & PPS knowledge

Medical terminology & anatomy

Revenue cycle management

Coding auditing principles

Government regulations awareness

CDT knowledge

Education

Associate degree or higher in HIM/Healthcare Admin/Biological Science

Medical coding certificate (university/college/technical school)

30 semester hours with anatomy/physiology/medical terminology

AAPC/AHIMA coding exam prep course

Armed Forces/US Maritime Service medical training program

Job description

Serco is seeking Medical Coding Auditing Specialists to support the Defense Health Agency’s Medical Coding Program Branch across DHA Markets. You will audit facilities and clinics for coding accuracy, assist in planning audits, and perform targeted reviews as needed.

Qualified candidates have extensive ICD-CM/CPT knowledge, DRG/PPS familiarity, and strong understanding of coding regulations. Remote/CONUS travel may be required per assignments and training must be documented.