Alternate Medical Coding Contract Manager

Integrated Management Strategies, LLC

1d•Remote

About The Position

Integrated Management Strategies (IMS) is seeking an experienced Alternate Medical Coding Contract Manager to join their healthcare consulting practice. This is a fully remote position within the US, with infrequent travel required. The Alternate Contract Manager (ACM) reports to the Contract Manager (CM) and assists in overseeing the work of IMS Employees and 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 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 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. The MSR should outline progress, status, risks, and problems, including roles, responsibilities, and government dependencies impacting the contract.
The MSR should include enhanced data for each MTF and COR, providing coder-specific information (by coder name) and grouping coders by accuracy and productivity levels. This data should allow for trending and analysis of CSP coding accuracy and productivity.
The MSR should include the number of records coded by each coder, accuracy rates, productivity rates, billed dollar amounts, and a summary page with trends. It may also include the Quality Control Inspection Report.
The MSR should build on previous months to create an annual report and have a rolling 12-month view capability.
Serve as the Acting Contract Manager when the Contract Manager is not available.
Serve as the primary auditor/contact for the monthly internal audit, ensuring 97% accuracy is maintained, and work with the Contract Manager on training sessions for internal audits, DHA/MHS updates, and industry coding updates.
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 as 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