Medical Coding Auditing Specialist 1 1
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if posting has real specific content.
We need to parse the job description.
Content includes:
- Position Description & Qualifications: description of role, mission, tasks.
- Responsibilities: list of duties: performance of routine audits, support to develop annual work plan, targeted audits, support to DHA-MCPB in performance of medical coding audits used in Government surveillance, etc.
- Requirements: Education, Mandatory Skills, Certifications, Continuing Education, Experience Requirements, Pre-employment test, Developmental Classification.
- Qualifications: maybe same as requirements? But we can combine.
- Skills: Mandatory Skills list.
- Benefits: Not explicitly given; there is a mention of "Company Overview" and "Serco benefits" link but no specific benefits listed. The posting includes "To review Serco benefits please visit: ..." but no specifics. So we should NOT create Benefits section because no specific content.
- Pay: Not given; there is mention of Developmental Classification at 90% of Full Performance salary but no actual numbers. So we should not create Pay section because no specific pay.
- Schedule: Not given.
Thus we will include sections: About the role (maybe from first paragraph), Responsibilities, Requirements (or Qualifications), Skills.
We need to use for each section heading. Use - for any list of duties/requirements/benefits. Use
for prose.
We must preserve all substantive information, not invent or summarize away detail. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Also remove company overview fluff? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The company overview may be considered boilerplate? It's not exactly legal/EEO but it's generic marketing. Might be considered boilerplate? The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." It doesn't explicitly say to remove company overview, but we should keep substantive info. The company overview is generic but maybe not needed. However we can keep a short paragraph about Serco if it's substantive? It's more fluff. Safer to omit it as it's not specific to the role. The instruction says "Prefer a few substantive sections over many thin ones." So we can omit company overview.
We need to include all substantive info: description of role, responsibilities list, requirements (education, skills, certifications, experience, test, developmental classification). Also maybe include "Pre-employment Coding Auditing Specialist Test" as part of requirements.
We need to format lists appropriately.
Let's extract details.
**About the role / Position Description**:
First paragraph: "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)."
That's substantive.
**Responsibilities**:
List: "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."
We can put each as
- .
**Requirements**:
Education: list of options.
We need to preserve all detail, not summarize. So we need to list each option as separate bullet? Could be a
with each option as - . The text includes "Education An associate’s degree or higher in Health Information Management or Healthcare Administration or biological science; ORA university, college, or technical school certificate in medical coding; ORAt 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; ORSuccessful 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; ORSuccessful 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."
We need to keep the "OR" separators but we can just list each as bullet.
**Mandatory Skills**: list of advanced knowledge etc.
We need to capture each bullet.
**Certifications**: list of required certifications: Professional Services Coding Certifications (one of RHIT, RHIA, CPC, CCS-P); Institutional (Facility) Coding Certifications (one of RHIT, RHIA, CIC, CCS); Additional Coding Auditing Certifications: each of the following AAPC: Certified Professional Medical Auditor (CPMA); AND National Alliance of Medical Auditing Specialists (NAMAS): Certified Evaluation and Management Auditor (CEMA). Also note about RHIT/RHIA counting.
We need to preserve all detail.
**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**: detailed.
**Pre-employment Coding Auditing Specialist Test**: details.
**Developmental Classification**: details.
We could group all these under a single "Requirements" section with sublists? But the instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have sections: About the role, Responsibilities, Requirements, Skills. Possibly also Qualifications but we can combine Requirements and Qualifications? The instruction says use those headings if content exists. We have content for Requirements (education, experience, certifications, test, developmental classification). We have content for Skills (mandatory skills). We could also have Qualifications but maybe not needed.
We'll output:
About the role
... (the description)
Responsibilities
- 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;
- direct support to the DHA-MCPB in performance of medical coding audits used in Government surveillance of other DHA medical coding contracts.
Requirements
We need to include education, experience, certifications, continuing education, pre-employment test, developmental classification.
We could break into subheadings? But only allowed headings are those listed; we cannot add custom headings like Education etc. So we need to put all under Requirements section, using for prose and
- for lists.
We need to preserve all detail, not invent or summarize away. So we need to include each bullet as separate
- but we must keep the exact wording.
Let's extract each bullet.
Education options:
- An associate’s degree or higher in Health Information Management or Healthcare Administration or biological science;
- A university, college, or technical school certificate in medical coding;
- 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;
- 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;
- 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.
We need to keep the punctuation (semicolons) maybe but as list items we can drop trailing semicolons.
Experience Requirements:
- 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
- for any list of duties/requirements/benefits. Use
for prose. We must preserve all substantive information, not invent or summarize away detail. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Also remove company overview fluff? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The company overview may be considered boilerplate? It's not exactly legal/EEO but it's generic marketing. Might be considered boilerplate? The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." It doesn't explicitly say to remove company overview, but we should keep substantive info. The company overview is generic but maybe not needed. However we can keep a short paragraph about Serco if it's substantive? It's more fluff. Safer to omit it as it's not specific to the role. The instruction says "Prefer a few substantive sections over many thin ones." So we can omit company overview. We need to include all substantive info: description of role, responsibilities list, requirements (education, skills, certifications, experience, test, developmental classification). Also maybe include "Pre-employment Coding Auditing Specialist Test" as part of requirements. We need to format lists appropriately. Let's extract details. **About the role / Position Description**: First paragraph: "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)." That's substantive. **Responsibilities**: List: "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." We can put each as
- .
**Requirements**:
Education: list of options.
We need to preserve all detail, not summarize. So we need to list each option as separate bullet? Could be a
- with each option as
- . The text includes "Education An associate’s degree or higher in Health Information Management or Healthcare Administration or biological science; ORA university, college, or technical school certificate in medical coding; ORAt 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; ORSuccessful 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; ORSuccessful 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."
We need to keep the "OR" separators but we can just list each as bullet.
**Mandatory Skills**: list of advanced knowledge etc.
We need to capture each bullet.
**Certifications**: list of required certifications: Professional Services Coding Certifications (one of RHIT, RHIA, CPC, CCS-P); Institutional (Facility) Coding Certifications (one of RHIT, RHIA, CIC, CCS); Additional Coding Auditing Certifications: each of the following AAPC: Certified Professional Medical Auditor (CPMA); AND National Alliance of Medical Auditing Specialists (NAMAS): Certified Evaluation and Management Auditor (CEMA). Also note about RHIT/RHIA counting.
We need to preserve all detail.
**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**: detailed.
**Pre-employment Coding Auditing Specialist Test**: details.
**Developmental Classification**: details.
We could group all these under a single "Requirements" section with sublists? But the instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have sections: About the role, Responsibilities, Requirements, Skills. Possibly also Qualifications but we can combine Requirements and Qualifications? The instruction says use those headings if content exists. We have content for Requirements (education, experience, certifications, test, developmental classification). We have content for Skills (mandatory skills). We could also have Qualifications but maybe not needed. We'll output:
About the role
... (the description)
Responsibilities
- 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;
- direct support to the DHA-MCPB in performance of medical coding audits used in Government surveillance of other DHA medical coding contracts.
Requirements
We need to include education, experience, certifications, continuing education, pre-employment test, developmental classification. We could break into subheadings? But only allowed headings are those listed; we cannot add custom headings like Education etc. So we need to put all under Requirements section, usingfor prose and
- for lists. We need to preserve all detail, not invent or summarize away. So we need to include each bullet as separate
- but we must keep the exact wording. Let's extract each bullet. Education options: - An associate’s degree or higher in Health Information Management or Healthcare Administration or biological science; - A university, college, or technical school certificate in medical coding; - 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; - 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; - 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. We need to keep the punctuation (semicolons) maybe but as list items we can drop trailing semicolons. Experience Requirements: - 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
- . The text includes "Education An associate’s degree or higher in Health Information Management or Healthcare Administration or biological science; ORA university, college, or technical school certificate in medical coding; ORAt 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; ORSuccessful 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; ORSuccessful 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."
We need to keep the "OR" separators but we can just list each as bullet.
**Mandatory Skills**: list of advanced knowledge etc.
We need to capture each bullet.
**Certifications**: list of required certifications: Professional Services Coding Certifications (one of RHIT, RHIA, CPC, CCS-P); Institutional (Facility) Coding Certifications (one of RHIT, RHIA, CIC, CCS); Additional Coding Auditing Certifications: each of the following AAPC: Certified Professional Medical Auditor (CPMA); AND National Alliance of Medical Auditing Specialists (NAMAS): Certified Evaluation and Management Auditor (CEMA). Also note about RHIT/RHIA counting.
We need to preserve all detail.
**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**: detailed.
**Pre-employment Coding Auditing Specialist Test**: details.
**Developmental Classification**: details.
We could group all these under a single "Requirements" section with sublists? But the instruction says use