Medical Coding Audit and Compliance Review

The contract is for a Medical Coding Audit and Compliance Review under a subcontract set aside for a SBA Certified Women-Owned Small Business through the WOSB Program, ensuring that only eligible firms may compete. The work will focus on auditing coded medical records to confirm accuracy, enforce adherence to federal regulations, and preserve data integrity specifically for Veterans Affairs billing and reporting systems. Audits will be performed to validate that diagnostic and procedural codes align with clinical documentation, prevent improper payments, and ensure compliance with Medicare and VA-specific guidelines. The project is tied to the NAICS code 541611, indicating a primary focus on medical administrative services. Performance of this contract will take place in Tucson, Arizona, with a zip code of 85723, and is managed by the 262-NETWORK Contract Office 22 under the Department of Veterans Affairs. While no point of contact or official solicitation number is provided, the contract was posted on July 28, 2026, indicating it is a future opportunity. The work does not specify remote or field-based requirements, but the place of performance being designated as Tucson suggests on-site activities may be expected. All activities must support the VA’s mission of accurate, transparent, and compliant healthcare financial reporting.