Alternate Contract Manager

Integrated Management Strategies, LLC
Remote

About The Position

Integrated Management Strategies (IMS) is seeking an experienced Alternate Contract Manager to join their healthcare consulting practice. This is a fully remote role within the US, with infrequent travel. The Alternate Contract Manager (ACM) reports to the Contract Manager (CM) and assists in overseeing IMS Employees, Contract Service Providers (CSPs), quality assurance, and is responsible for the performance of MEDCOM contracts.

Requirements

  • Must possess current coding credential from either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC).
  • Must have Department of Defense Medical Coding auditing experience.
  • Minimum one year of coding management experience with DoD medical coding, specifically for the outpatient and inpatient medical coding areas.
  • Extensive knowledge of Genesis, the DoD electronic health record.
  • Knowledge of Solventum 360.
  • Extensive knowledge of Microsoft (Word, PowerPoint and Excel).
  • Extensive knowledge for understanding and applying both civilian and MHS official coding clinic/guidelines.
  • Knowledge of medical terminology and usage, including general medical, surgical, pharmaceutical, hospital terms and abbreviations and abstracting techniques.
  • Knowledge of a broad range of references such as the ICD-10-CM, ICD-10 PCS, CPT, HCPCS, modifiers, medical dictionaries, and manuals related to coding textbooks and glossaries.
  • Knowledge of legal and regulatory requirements of medical records.
  • Knowledge of medical records procedures, maintenance and documentation, regulations, and principles to carry out a variety of medical records functions such as retrieval of information, analysis, coding, ensuring compliance, and compiling data.
  • Knowledge of laws and regulations on the confidentiality of medical records.
  • Knowledge of medical records procedures, regulations and principles to carry out a variety of medical records functions such as analysis, coding, ensuring compliance, and compiling data.
  • Knowledge and skill in data collection methods for basic health care, research information and statistical reporting.
  • Skill in effective oral and written communication.
  • Ability to train staff and provide guidance to CSPs regarding their coding capabilities and audit results.

Responsibilities

  • Aid the Contract Manager with the maintenance of documents for all contract coders, including monthly audits, annual training, credential renewals, knowledge/skills/abilities/behaviors assessments, performance evaluations, and evidence of continuing education.
  • Assist the Contract Manager and Management in electronically submitting a Monthly Status Report (MSR) to the COR by the 5th calendar day of each month, outlining progress, status, risks, and problems/issues. The MSR includes details on activities, schedules, work initiatives, documentation updates, enhanced data by MTF and COR, coder-specific information, accuracy and productivity levels, billed dollar amounts, and a summary page.
  • Serve as the Acting Contract Manager when the Contract Manager is not available.
  • Serve as the primary auditor/contact for the monthly internal audit to ensure 97% accuracy is maintained, working with the Contract Manager on training sessions.
  • Provide Contract Service Providers (CSPs) with an audit regarding their capabilities and audit results before the 23rd of the month.
  • Code as needed, based on the instruction of the Contract Manager and current coding needs.
  • Work with the coding staff and Contract Manager daily to provide correct coding guidance.
  • Perform other duties assigned at the discretion of the Contract Manager and IMS Management.

Benefits

  • 401(k) Retirement Plan
  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time
  • 11 Company Paid Holidays
  • Medical & Dependent Care Flexible Spending Accounts
  • Group Life & Accidental Death & Dismemberment (AD&D) Insurance
  • Group Short Term Disability Insurance
  • Voluntary Life Insurance, Long Term Disability Insurance, Accident Insurance, Critical Illness Insurance, and Hospital Indemnity Insurance
  • Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Position may be eligible for a discretionary variable incentive bonus
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