Medical Coding Contract Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist the Contract Manager in managing various documents for all contract coders, including monthly audits for each employee, renewal of credentials and qualifications, and assessments of necessary knowledge, skills, abilities, and behaviors for job performance. Maintain current performance evaluations to support the capability of employees and contractor support personnel in fulfilling contract requirements, along with evidence of continuing education for the past two (2) years.

• Collaborate with the Contract Manager and Management to electronically submit a Monthly Status Report (MSR) to the COR by the 5th calendar day of each month. The MSR will detail progress, status, risks, and issues encountered, including roles and responsibilities, and identify any overdue government dependencies affecting the schedule and/or performance of this contract. The MSR will summarize past month activities (work accomplished and percent complete for each MTF), outline planned activities and estimated completion dates, and provide a status summary of work initiatives and documentation updates. Enhanced data for each MTF will be included, offering insights for each COR responsible for the contract, such as coder-specific information categorized by accuracy and productivity levels. The MSR will also provide metrics on the number of records coded, accuracy rates, productivity rates by type of record, and a rolling 12-month view of billed dollar amounts for completed records. A summary page will give an overview of trends, and the MSR may include the Quality Control Inspection Report.

• Act as the Acting Contract Manager in the absence of the Contract Manager.

• Function as the primary auditor/contact for the monthly internal audit, delivering results to the Contract Manager by the 27th of each month to ensure 97% accuracy is upheld.

• Collaborate with the Contract Manager to organize regular training sessions on internal audits, DHA/MHS updates, and industry coding advancements.

• Provide Contract Service Providers (CSPs) with an audit of their capabilities and results before the 23rd of each month.

• Perform coding tasks as needed, following the directions of the Contract Manager and current coding requirements.

• Work daily with the coding staff and the Contract Manager to provide accurate coding guidance as necessary.

• Undertake additional duties as assigned at the discretion of the Contract Manager and IMS Management.

⛳️ Requirements

• Must hold a current coding credential from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC).

• Experience in Department of Defense Medical Coding auditing is required.

• At least one year of coding management experience within DoD medical coding, focusing on both outpatient and inpatient medical coding areas.

• In-depth knowledge of Genesis, the DoD electronic health record system.

• Familiarity with Solventum 360.

• Proficient in Microsoft applications, including Word, PowerPoint, and Excel.

• Extensive understanding of both civilian and MHS official coding clinics/guidelines.

• Knowledge of medical terminology and its applications, encompassing general medical, surgical, pharmaceutical, hospital terms, abbreviations, and abstracting techniques.

• Familiarity with a wide array of references such as ICD-10-CM, ICD-10 PCS, CPT, HCPCS, modifiers, medical dictionaries, and related coding textbooks and glossaries.

• Awareness of legal and regulatory standards pertaining to medical records.

• Knowledge of medical records processes, maintenance, and documentation, along with regulations and principles necessary for various medical records functions, including data retrieval, analysis, coding, compliance assurance, and data compilation.

• Understanding of confidentiality laws and regulations regarding medical records.

• Proficiency in data collection methods for basic healthcare, research information, and statistical reporting.

• Strong oral and written communication skills.

• Ability to train staff and guide CSPs regarding their coding capabilities and audit results.

🏝️ 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