Medical Records Manager

About the role

The Centers for Medicare & Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT) program plays a vital role in safeguarding the integrity of the Medicare Fee-for-Service (FFS) program by ensuring that taxpayer-funded healthcare payments are accurate, appropriate, and compliant with federal requirements. Supporting CMS’s obligations under the Payment Integrity Information Act (PIIA), the program uses statistically valid sampling and independent medical review of claims to identify improper payments and measure program performance. The insights generated through CERT enable CMS to strengthen accountability, improve healthcare delivery practices, and drive corrective actions that protect both beneficiaries and public funds. Through this work, the CERT program helps uphold transparency, stewardship, and trust in one of the nation’s most critical healthcare systems.

Responsibilities

• Provide oversight of the medical records workflow process including initial requests, logging and tracking, distribution, storage, destruction and/or forwarding of all medical records
• Maintain monitoring all stages in the production cycle
• Initiate and implement interventions necessary to address or prevent any disruptions to the medical record workflow
• Coordinate the assignment of medical records for claim review and IQC functions
• Oversee the record imaging system
• Open and correctly route all mail relating to the distribution and workload processes
• Produce and submit required reports according to established content and time guidelines
• Ensure departmental compliance with quality management system and ISO requirements
• Determine and coordinate the education and training for the department staff
• Develop and approve departmental policies and procedures for the MR unit
• Effectively communicate with the customer, stakeholders and employees

Requirements

• Bachelor’s degree from an accredited institution in business, management or computer science, prefer certification as RHIA or ART
• 4 years experience managing routine operations preferably, in a large medical records department
• Ability to work under pressure and within designated time constraints
• Ability to solve problems and resolve issues as they arise
• Knowledge of personal computer systems including MS Word, MS Excel

Qualifications

• Ability to work under pressure and within designated time constraints
• Ability to solve problems and resolve issues as they arise
• Knowledge of personal computer systems including MS Word, MS Excel

Skills

• Ability to work under pressure and within designated time constraints
• Ability to solve problems and resolve issues as they arise
• Knowledge of personal computer systems including MS Word, MS Excel

Benefits

Comprehensive benefits for full-time employees (part-time employees receive a limited package tailored to their role): 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.

Pay

Serco complies with all applicable state and local leave laws, including providing time off under the Colorado Healthy Families and Workplaces Act for eligible Colorado residents, in alignment with our policies and benefit plans. The application window for this position is for no more than 60 days. We encourage candidates to apply promptly after the posting date, as the position may close earlier if filled or if the application volume exceeds expectations.