Position Description & Qualifications
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.
This position provides clerical and administrative support for the Medical Records Department under the supervision of the Medical Records Manager.
As a Medical Record Clerk, you will:
Process initial medical record requests including; printing pull lists, requesting letters and coversheets, photocopying of materials, scanning mailing labels, packing initial request envelopes with all required documents, and mailing via postage meter and U. S. Postal Service
Adjudicate ADR (Additional Documentation Request) for TS (Technical Validation / Technical Services @context) / MRS (Medical Review Specialist) call requests from the MRS and First Touch reviewers
Download and sends out medical records to MACs (Medicare Administrative Contractors) and CMS upon request
Set up new users and resets passwords for MAC users to access the CERT Website
Process the medical records and appeals requested by MACs
Process MAC Accuracy project
Attend required education and training programs
Comply with departmental policies and procedures
Perform other duties as assigned by the Medical Records Manager
To be successful in this role, you must have:
A high school diploma/GED
Knowledge of medical record processing
Ability to lift and move boxes repetitively weighing up to 50 pounds
Ability to work independently and as a team member to achieve Service Level Agreements
Ability to QC a high volume of claims on a daily basis
Ability to work under pressure and within designated time constraints
Ability to solve problems and resolve issues as they arise
Ability to multitask
Knowledge of personal computer systems including MS Word, MS Excel
Familiarity with department required equipment (computers, copiers, fax machines, scanners)
Ability to perform record imaging after training
Ability to file and retrieve records
Ability to pay close attention to detail
Knowledge of medical terminology
Additional desired qualifications:
6 months of medical record experience
If you are interested in supporting a passionate Serco team - then submit your application now for immediate consideration. It only takes a few minutes and could change your career!
Company Overview
Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco's 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.
To review Serco benefits please visit: https://careers.serco-na.com/us/en/what-we-offer . If you require an accommodation with the application process please email: careers@serco-na.com or call the HR Service Desk at 800-628-6458, option 1. Please note, due to EEOC/OFCCP compliance, Serco is unable to accept resumes by email.
Candidates may be asked to present proof of identify during the selection process. If requested, this will require presentation of a government-issued I.D. (with photo) with name and address that match the information entered on the application. Serco will not take possession of or retain/store the information provided as proof of identity. For more information on how Serco uses your information, please see our Applicant Privacy Policy and Notice.
Serco does not accept unsolicited resumes through or from search firms or staffing agencies without being a contracted approved vendor. All unsolicited resumes will be considered the property of Serco and will not be obligated to pay a placement or contract fee. If you are interested in becoming an approved vendor at Serco, please email Agencies@serco-na.com .
Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Pay Transparency
Our Total Rewards package includes competitive pay, performance-based incentives, and benefits that promote well-being and work-life balance-so you can thrive both professionally and personally. Eligible employees also gain access to a wide range of benefits from comprehensive health coverage and health savings accounts to retirement plans, life and disability insurance, and time-off programs that support work-life balance. Program availability may vary based on factors such as contract @type, location, hire date, and applicable collective bargaining agreements.
Salary range: The hourly amount for this position can be found at the top of this posting. This role is covered by the Service Contract Act.?For positions on this contract, we will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor and the Wage Determination (WD). The wage rate will vary depending on the locality. Additionally, you will receive Health and Welfare Benefits based on the WD for the contract.
Benefits - Comprehensible benefits for full-time employees (part-time members 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 that includes counseling conditions
Specific benefits are dependent upon the specific contract as well as whether the position is covered by a collective bargaining agreement or Service Contract Labor Standards.
To review all Serco benefits please visit: https://careers.serco-na.com/us/en/about-us .
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. Please submit applications exclusively through Serco's external (or internal) career site. If an applicant has any concerns with job posting compliance, please send an email to: careers@serco-na.com .
