Hosptial and Professional Coding Audits

The County of San Mateo is seeking proposals for Hospital and Professional Coding Audits at San Mateo Medical Center, a fully accredited public healthcare facility serving the diverse needs of residents across San Mateo County. The contract, with an estimated value ranging from $500,000 to $2,000,000, aims to engage qualified certified auditors to review coding accuracy for government-reimbursed discharges, provide consultation with compliance and health information management departments, and deliver educational sessions. The procurement process is open for submissions until November 14, 2025, with key dates including the release of the RFP on October 10, 2025, and a question deadline of October 24, 2025. The selected contractor must adhere to strict compliance standards, including federal and state healthcare regulations, and demonstrate commitment to ethical practices, as outlined in the Corporate Compliance Code of Conduct. The contractual obligations extend beyond auditing services to encompass comprehensive compliance and security requirements. Contractors are required to follow the Vendor/Contractor Access Policy to safeguard County facilities and information systems, and must comply with HIPAA regulations as a Business Associate, ensuring the protection of protected health information. Additionally, contractors must agree to the provisions of the Section 504 of the Rehabilitation Act, affirming accessibility and non-discrimination, and assign all intellectual property rights related to work products to the County. The agreement also incorporates provisions for child safety through fingerprinting certification for personnel with contact with minors, and mandates adherence to the County’s Living Wage Ordinance and other applicable policies. Overall, the contract emphasizes rigorous compliance, security, and ethical standards to support the County’s mission of providing equitable healthcare services while maintaining accountability and regulatory adherence.